-- GRACE AMISTOSO -- APN
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1063848885- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APN
- Status
- Active
Contact & Location
- Address
- LOCK BAG & WOODBRIGE AVE E JERSEY STATE PRISON ATTN MEDICAL DEPT, WOODBRIDGE, NJ, 07067
- Phone
- (732) 499-5010
Specialties & Taxonomies
Nurse Practitioner
Primary License: NJ #26NC06249800
All Addresses
LOCATION
LOCK BAG & WOODBRIGE AVE E JERSEY STATE PRISON ATTN MEDICAL DEPT
WOODBRIDGE, NJ, 07067