Provider Demographics
NPI:1598148181
Name:PALOLA, CIELITO (RN, BSN, CNOR, RNFA)
Entity Type:Individual
Prefix:MS
First Name:CIELITO
Middle Name:
Last Name:PALOLA
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 COLONIAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4108
Mailing Address - Country:US
Mailing Address - Phone:845-837-9009
Mailing Address - Fax:
Practice Address - Street 1:41 COLONIAL LAKE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4108
Practice Address - Country:US
Practice Address - Phone:845-837-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12482900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant