Provider Demographics
NPI:1417087875
Name:FIORINO, CARROL ANN (NPC)
Entity Type:Individual
Prefix:
First Name:CARROL
Middle Name:ANN
Last Name:FIORINO
Suffix:
Gender:F
Credentials:NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BRASS CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-6309
Mailing Address - Country:US
Mailing Address - Phone:908-835-1910
Mailing Address - Fax:
Practice Address - Street 1:37 RUPELL RD
Practice Address - Street 2:HAMPTON
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-4017
Practice Address - Country:US
Practice Address - Phone:908-735-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N007998700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health