Provider Demographics
NPI:1306010087
Name:COX, VIRGINIA (CRNP, APN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:CRNP, APN
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:MONDESIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:376 MARION ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4118
Mailing Address - Country:US
Mailing Address - Phone:908-686-0974
Mailing Address - Fax:
Practice Address - Street 1:83 HANOVER RROAD
Practice Address - Street 2:STE. 290
Practice Address - City:FLORHAM PK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-966-5200
Practice Address - Fax:973-966-0300
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00156900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner