Provider Demographics
NPI:1467523100
Name:SIMONE, MARIA (APN,C)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:SIMONE
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SUBBIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN C
Mailing Address - Street 1:2201 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1303
Mailing Address - Country:US
Mailing Address - Phone:908-688-5400
Mailing Address - Fax:908-688-5377
Practice Address - Street 1:2201 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1303
Practice Address - Country:US
Practice Address - Phone:908-688-5400
Practice Address - Fax:908-688-5377
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00082200163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult