Nicole Lynn Caraballo, APN | |
1 Cooper Plz, Camden, NJ 08103-1461 | |
(856) 342-3150 | |
Not Available |
Full Name | Nicole Lynn Caraballo |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1 Cooper Plz, Camden, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609588599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR18286000 (New Jersey) | Secondary |
363L00000X | Nurse Practitioner | 26NJ01418900 (New Jersey) | Primary |
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
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Nicole Lynn Caraballo, APN 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Nicole Lynn Caraballo, APN 1 Cooper Plz, Camden, NJ 08103-1461 Ph: (856) 342-3150 |
Susan Paglione, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Federal Street, Camden, NJ 08103 Phone: 856-541-9811 Fax: 856-225-1678 | |
Katharine R Hommes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz, Suite 411, Camden, NJ 08103 Phone: 856-963-3577 Fax: 856-968-8457 | |
Hammad Malik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3150 | |
Dr. Tanya Monique Bronzell-wynder, DNP, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 N 7th St Fl 1, Camden, NJ 08102 Phone: 856-288-9115 Fax: 856-379-4286 | |
Dr. Frances Ward, PHD, RN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 S Broadway, Camden, NJ 08103 Phone: 856-541-1752 Fax: 856-566-6203 | |
Debbie Orr, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2625 | |
Elizabeth Bemah, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Federal St, Camden, NJ 08103 Phone: 215-694-9670 |