Provider Demographics
NPI:1033156088
Name:LENZ, DENISE LEONORE (FNP-C, APN)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:LEONORE
Last Name:LENZ
Suffix:
Gender:F
Credentials:FNP-C, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1739
Mailing Address - Country:US
Mailing Address - Phone:973-957-0551
Mailing Address - Fax:866-329-0698
Practice Address - Street 1:44 SHADY LN
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1739
Practice Address - Country:US
Practice Address - Phone:609-412-9761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00035400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2644900000OtherAMERIHEALTH
NJ0081167Medicaid
NJ2644900000OtherAMERIHEALTH
NJQ56142Medicare UPIN
NJP0028356Medicare PIN