Healthcare Provider Details

I. General information

NPI: 1356177026
Provider Name (Legal Business Name): FRANCESCA MARIE CASTELLUCCI MSN APN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 CHAPEL AVE W STE 401
CHERRY HILL NJ
08002-2062
US

IV. Provider business mailing address

31 HADDOCK DR
SEWELL NJ
08080-3067
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15143400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: