Kourtnie Fedele, DNP, RN, CPNP-AC/PC
Nurse Practitioner, Pediatrics in Hoboken, NJ. Individual provider (NPI-1).
NPI number1487045639
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1487045639
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kourtnie Fedele
- Credential
- DNP, RN, CPNP-AC/PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2015
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 26NJ14943000 | NJ | Yes |
Practice location
222 Grand St Apt 3dHoboken, NJ 07030-2589
Phone 917-682-7414
Mailing address
222 Grand St Apt 3dHoboken, NJ 07030-2589
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