Doctor Name: | TRICIA COULANGES |
NPI Number: | 1285062273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 26NJ00470700 |
Business Practice Address: | 1376 Highway 36 Hazlet, NJ - 077301716 |
Business Phone Number: | 7322645500 |
Business Fax Number: | |
Mailing Address: | 1376 Highway 36, HAZLET |
State: | NJ |
Postal Code: | 077301716 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/29/2013 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00470700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |