=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336944693
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGELA NARDONE PFISTNER RN, APN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2025
-----------------------------------------------------
Last Update Date | 07/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 435 SOUTH ST STE 360
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-6479
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-7609
-----------------------------------------------------
Fax | 973-290-7203
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 465 SOUTH ST STE 103
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-6442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-7609
-----------------------------------------------------
Fax | 973-290-7203
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ15066500
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------