Idiculla, Preethi

Idiculla, Preethi is an sole proprietor health care provider with primary practice located at 968 Wendy Ct , Union NJ 07083-5637. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Idiculla, Preethi can be contacted via phone (917) 858-0953.

Contact Information

Primary practice address
968 Wendy Ct Union NJ 07083-5637
Phone: (917) 858-0953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 26NR1204800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01318900 New Jersey

Profile Details

NPI number 1164957494
LBN Legal business name Idiculla, Preethi
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2017
Last updated Aug 25th, 2023 - about 2 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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