Michelle Itidiare
Michelle Itidiare is a Family Nurse Practitioner in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.
- Licensed in
- NJ
- In the registry since
- 2015
Practice location Address checks out
347 Mount Pleasant Ave Ste 103West Orange, NJ 07052-2744
Phone: (908) 420-1361
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 26NJ00625200 (NJ) |
|---|
Record details
| NPI number | 1194180349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2015 |
| Last updated in NPPES | November 30, 2016 |
| Mailing address | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 |
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