Provider Demographics
NPI:1093884322
Name:COUNTY OF SUSSEX
Entity Type:Organization
Organization Name:COUNTY OF SUSSEX
Other - Org Name:OFFICE OF PUBLIC HEALTH NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISOR OF NURSING SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,PNP
Authorized Official - Phone:973-579-0570
Mailing Address - Street 1:1 SPRING ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2070
Mailing Address - Country:US
Mailing Address - Phone:973-579-0370
Mailing Address - Fax:973-579-0399
Practice Address - Street 1:1 SPRING ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2070
Practice Address - Country:US
Practice Address - Phone:973-579-0570
Practice Address - Fax:973-579-0571
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SUSSEX
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-08
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB50268251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare