Provider Demographics
NPI:1598483901
Name:NAPOLITANO, NICOLE (MS, CPNP-PC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:F
Credentials:MS, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ROUTE 73 N STE 320
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3426
Mailing Address - Country:US
Mailing Address - Phone:201-585-7337
Mailing Address - Fax:
Practice Address - Street 1:2175 LEMOINE AVE # 502
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6008
Practice Address - Country:US
Practice Address - Phone:201-585-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF383396-01363LP0200X
NJ26NJ01394800363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics