Grossbard, Nicole Loren
Grossbard, Nicole Loren is an sole proprietor health care provider with primary practice located at 63 Grand Ave Ste 137 , River Edge NJ 07661-1930. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grossbard, Nicole Loren can be contacted via phone (201) 696-2646.Contact Information
Primary practice address
63 Grand Ave Ste 137
River Edge NJ 07661-1930
Phone: (201) 696-2646
Fax: (201) 485-6570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 717409 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NR22658200 | New Jersey |
Profile Details
NPI number | 1023614658 |
---|---|
LBN Legal business name | Grossbard, Nicole Loren |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 9th, 2020 |
Last updated | Jul 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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