Provider Demographics
NPI:1245387596
Name:MCHUGH-FITHIAN, JOAN P (RNFA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:P
Last Name:MCHUGH-FITHIAN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8124
Mailing Address - Country:US
Mailing Address - Phone:856-985-8578
Mailing Address - Fax:
Practice Address - Street 1:112 W CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8124
Practice Address - Country:US
Practice Address - Phone:856-985-8578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05355500163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant