DIANE MARIE FERNICOLA

OCEAN, NJ
NPI1407089477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ  26NJ00244000)
Enumeration Date2009-08-25
Last Update Date2009-08-25
Business Address
Mrs. DIANE MARIE FERNICOLA APN
1300 HIGHWAY 35 PLAZA II, SUITE 102
OCEAN, NJ 07712-3537
Phone number: 732-663-1123
Mailing Address
Mrs. DIANE MARIE FERNICOLA APN
10 MARYANN PL
TOMS RIVER, NJ 08753-4597
Phone number: 732-232-0158