Healthcare Provider Details

I. General information

NPI: 1487300299
Provider Name (Legal Business Name): LAUREN ELISE PIZZONE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NORTH RD
CHESTER NJ
07930-2318
US

IV. Provider business mailing address

31 ANN RD
LONG VALLEY NJ
07853-3503
US

V. Phone/Fax

Practice location:
  • Phone: 908-888-2541
  • Fax:
Mailing address:
  • Phone: 973-714-6314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number26NR17254300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01306500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: