Doctor Name: | JOAN ALYS FERRELLI |
NPI Number: | 1114955424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | 332851 |
Business Practice Address: | 3010 Hurley Pond Rd Wall Township, NJ - 077194516 |
Business Phone Number: | 7326810288 |
Business Fax Number: | |
Mailing Address: | 3010 Hurley Pond Rd, WALL TOWNSHIP |
State: | NJ |
Postal Code: | 077194516 |
Phone Number: | 7326810288 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 332851 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |