Provider Demographics
NPI:1326328360
Name:RIZZOLO, CATHLEEN RENEE (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:RENEE
Last Name:RIZZOLO
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:RENEE
Other - Last Name:MUHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 MORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1654
Mailing Address - Country:US
Mailing Address - Phone:908-591-2986
Mailing Address - Fax:844-881-7999
Practice Address - Street 1:131 MORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1654
Practice Address - Country:US
Practice Address - Phone:908-591-2986
Practice Address - Fax:844-881-7999
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ000349400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0375853Medicaid
NJ0375853Medicaid