Healthcare Provider Details

I. General information

NPI: 1891994299
Provider Name (Legal Business Name): MAGGIE A MCHALE RN,MSN,APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 AVENUE OF TWO RIVERS
RUMSON NJ
07760-1702
US

IV. Provider business mailing address

78 CORNELL DR
MANAHAWKIN NJ
08050-2903
US

V. Phone/Fax

Practice location:
  • Phone: 732-492-1142
  • Fax: 732-842-5726
Mailing address:
  • Phone: 609-661-3251
  • Fax: 698-597-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00113800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NR12272100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: