MICHELLE ITIDIARE

Nurse Practitioner - Family

Active Individual
NPI: 1194180349

Practice Address

347 MOUNT PLEASANT AVE
SUITE 103
West Orange, NJ 07052

Phone: (908) 420-1361

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 26NJ00625200 (NJ)

Frequently Asked Questions

NPI 1194180349 is the National Provider Identifier for MICHELLE ITIDIARE, a Nurse Practitioner - Family provider located in West Orange, NJ. This NPI was enumerated on December 15, 2015.
MICHELLE ITIDIARE practices at 347 MOUNT PLEASANT AVE, SUITE 103, West Orange, NJ 07052.

Quick Facts

NPI
1194180349
Type
Individual
Enumerated
Dec 15, 2015
Last Updated
Nov 30, 2016

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