Vales-Buckwald, Nicole Fabico

Vales-Buckwald, Nicole Fabico is an individual health care provider with primary practice located at 5301 Broadway , West New York NJ 07093-2622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Vales-Buckwald, Nicole Fabico can be contacted via phone (201) 866-9320.

Contact Information

Primary practice address
5301 Broadway West New York NJ 07093-2622
Phone: (201) 866-9320
Fax: (201) 866-7588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN08808600 New Jersey

Profile Details

NPI number 1801069521
LBN Legal business name Vales-Buckwald, Nicole Fabico
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2008
Last updated Feb 4th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801069521 NPPES
New Jersey Other 26NN08808600 NJ APRN LICENSE

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