Provider Demographics
NPI:1558055517
Name:CAULFIELD, NICOLE MICHELLE
Entity Type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:MICHELLE
Last Name:CAULFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2966
Mailing Address - Country:US
Mailing Address - Phone:201-937-5229
Mailing Address - Fax:
Practice Address - Street 1:247 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2966
Practice Address - Country:US
Practice Address - Phone:201-937-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program