NPI 1043049711

Nickcole Marie Green

Practitioner Peer Specialist Northfield, NJ

Practice location

Address: 507 Tilton Rd, Northfield, NJ 08225-1217
Phone: (609) 667-7810

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1043049711
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2024
Record last updated: 30 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.