Provider Demographics
NPI:1053997890
Name:SCHUBERT, NICOLE VALENTINE
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:VALENTINE
Last Name:SCHUBERT
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 1:18 STIRLING LN
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1363
Mailing Address - Country:US
Mailing Address - Phone:908-295-5973
Mailing Address - Fax:
Practice Address - Street 1:18 STIRLING LN
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1363
Practice Address - Country:US
Practice Address - Phone:908-295-5973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula