Provider Demographics
NPI:1295379832
Name:TOMASINI, ASHLEY L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:L
Last Name:TOMASINI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 ROUTE 94
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3327
Mailing Address - Country:US
Mailing Address - Phone:201-316-4678
Mailing Address - Fax:
Practice Address - Street 1:249 ROUTE 94
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3327
Practice Address - Country:US
Practice Address - Phone:201-316-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR16101000163W00000X
NJ26NJ00983400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse