Provider Demographics
NPI:1285036178
Name:OMANI, FLORAH N (NP)
Entity Type:Individual
Prefix:MS
First Name:FLORAH
Middle Name:N
Last Name:OMANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:FLORAH
Other - Middle Name:N
Other - Last Name:OMANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:27 CALVERT LN
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4539
Mailing Address - Country:US
Mailing Address - Phone:856-952-7597
Mailing Address - Fax:
Practice Address - Street 1:27 CALVERT LN
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4539
Practice Address - Country:US
Practice Address - Phone:856-952-7597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00509100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health