=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467600387
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DENISE C DIGIOVANNI RN, APN.C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2008
-----------------------------------------------------
Last Update Date | 12/05/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 435 SOUTH STREET SUITE 220 A
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-7291
-----------------------------------------------------
Fax | 973-290-7487
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 435 SOUTH STREET SUITE 220 A
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-7291
-----------------------------------------------------
Fax | 973-290-7487
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ00071400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------