Healthcare Provider Details

I. General information

NPI: 1174138531
Provider Name (Legal Business Name): NANCY EMILY CUOZZO RN, BSN, CNOR, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2020
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 W PARKWAY
POMPTON PLAINS NJ
07444-1647
US

IV. Provider business mailing address

3 NORTHWOOD DR
WEST MILFORD NJ
07480-3724
US

V. Phone/Fax

Practice location:
  • Phone: 973-831-5000
  • Fax:
Mailing address:
  • Phone: 973-476-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number26NO10533200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: