CANDICE RUSSELL

NEWARK, NJ
NPI1922856202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ15004300)
Enumeration Date2024-05-10
Last Update Date2026-01-06
Business Address
CANDICE RUSSELL APN
201 LYONS AVE # H3
NEWARK, NJ 07112-2027
Phone number: 973-926-7000
Mailing Address
CANDICE RUSSELL APN
201 LYONS AVE # H3
NEWARK, NJ 07112-2027
Phone number: