Provider Demographics
NPI:1073565222
Name:TOWNSEND, ANN B (RN,CNS,C,NPC)
Entity Type:Individual
Prefix:PROF
First Name:ANN
Middle Name:B
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RN,CNS,C,NPC
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7 VILLAGE CT
Mailing Address - Street 2:MEDFORD
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8507
Mailing Address - Country:US
Mailing Address - Phone:609-634-4275
Mailing Address - Fax:
Practice Address - Street 1:210 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1715
Practice Address - Country:US
Practice Address - Phone:856-547-0539
Practice Address - Fax:856-547-3178
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003714C363LP2300X
NJ26NN0421880363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS57235Medicare UPIN
10735652222Medicare UPIN