Provider Demographics
NPI:1275645277
Name:URBANI, PATRICIA B (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:B
Last Name:URBANI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8444
Mailing Address - Country:US
Mailing Address - Phone:609-654-0578
Mailing Address - Fax:
Practice Address - Street 1:700 ROUTE 130 N
Practice Address - Street 2:SUITE 203 RANCOCAS ANESTHESIA ASS
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3402
Practice Address - Country:US
Practice Address - Phone:856-829-9345
Practice Address - Fax:856-829-3605
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO03853500367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJUR002753Medicare ID - Type Unspecified