| NPI | 1376107839 |
|---|---|
| Former Name | NICOLE MARIE KORDZIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00927200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18161900) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-05-24 |