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NPI Code Detail

MEDICARE: FRANCIS JOHN RELLA APN

MEDICARE: FRANCIS JOHN RELLA APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner26NJ00475800NJ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00475800NJ

General Provider Information

NPI Number : 1578988978
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCIS JOHN RELLA APN
Provider Business Mailing Address
First Line : 1937 CHURCH RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-1408
Country : US
Telephone Number : 732-406-2336
Fax Number :
Provider Business Practice Location Address
First Line : 1937 CHURCH RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-1408
Country : US
Telephone Number : 732-406-2336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2014
Last Update Date : 12/05/2023

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