Search › New Jersey › 363LF0000X
Preethi Idiculla, NP
NPI 1164957494 · on the registry since 2017 · sole proprietor
Practice
- Address
- 968 Wendy Ct
Union, NJ 07083 - Phone
- (917) 858-0953
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WR0006X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey