Provider Demographics
NPI:1235301367
Name:NESVOLD, LIBBY (VMD)
Entity Type:Individual
Prefix:DR
First Name:LIBBY
Middle Name:
Last Name:NESVOLD
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2338
Mailing Address - Country:US
Mailing Address - Phone:201-944-0140
Mailing Address - Fax:201-944-1059
Practice Address - Street 1:534 10TH ST
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-2338
Practice Address - Country:US
Practice Address - Phone:201-944-0140
Practice Address - Fax:201-944-1059
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100124500174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian