Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LOREN GROSSBARD, FNP
Active Sole ProprietorNurse Practitioner · RIVER EDGE, NJ
Registration Details
- NPI Number
- 1023614658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2020 (5.3653001560582 yrs)
- Last Updated
- Jul 19, 2021
- Licenses
-
717409 (NY)26NR22658200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
63 GRAND AVE STE 137RIVER EDGE, NJ, 076611930Browse NJ providers · Browse ZIP 07661
- Phone
- 2016962646
- Fax
- 2014856570
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in RIVER EDGE, NJ
| Name | Credential | NPI |
|---|---|---|
| THERESA A SCHULZE | NURSE PRACTITIONER | 1508450446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.