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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE ITIDIARE

Active

Family Nurse Practitioner · WEST ORANGE, NJ

Registration Details

NPI Number
1194180349
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2015 (10.378170815424 yrs)
Last Updated
Nov 30, 2016
License
26NJ00625200 (NJ)

Practice Information

Address
347 MOUNT PLEASANT AVE
SUITE 103
WEST ORANGE, NJ, 070522744
Browse NJ providers · Browse ZIP 07052
Phone
9084201361
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in WEST ORANGE, NJ

Name Credential NPI
MS. OLUFUNMILAYO A AIYEGBO FNP 1871668772
MELISSA RAMDAS 1568664704
JOANN A LANE APN-C 1659688133
MS. JESSICA UZOMA EMMANUEL NP-C 1760726780
ROSE ANTONY FNP-C 1033528823
MR. HOMERO PANIAGUA APN 1053700633
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.