Provider Demographics
NPI:1407408339
Name:SALERNO, ANGELA MARIA (APN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIA
Last Name:SALERNO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-1740
Mailing Address - Country:US
Mailing Address - Phone:732-585-6319
Mailing Address - Fax:
Practice Address - Street 1:2370 NJ-33
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08691
Practice Address - Country:US
Practice Address - Phone:733-483-3423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00907300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily