| Doctor Name: | RENEE M NADAL |
| NPI Number: | 1063775047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00356300 |
| Business Practice Address: | 300 2nd Ave Long Branch, NJ - 077406303 |
| Business Phone Number: | 7329235000 |
| Business Fax Number: | |
| Mailing Address: | 634 Monmouth Ave, PORT MONMOUTH |
| State: | NJ |
| Postal Code: | 077581615 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2012 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00356300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |