Nicole Koniarz
Student in an Organized Health Care Education/Training Program in Boonton, NJ. Individual provider (NPI-1).
NPI number1073973335
StatusActive
Last updated in NPPESFeb 24, 2017
Details
- NPI
- 1073973335
- Entity type
- Individual (NPI-1)
- Name
- Nicole Koniarz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2016
- Last updated
- Feb 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
621 Greenbank RdBoonton, NJ 07005-9600
Phone 973-588-7492
Mailing address
621 Greenbank RdBoonton, NJ 07005-9600
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All 23 Student in an Organized Health Care Education/Training Program providers in Boonton · All 347 providers in Boonton
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