Provider Demographics
NPI:1679505655
Name:FALCO, ELIZABETH (RNFA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:FALCO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1024
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07802-1024
Mailing Address - Country:US
Mailing Address - Phone:973-957-0551
Mailing Address - Fax:866-396-3054
Practice Address - Street 1:41 PINE ST STE 109
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3139
Practice Address - Country:US
Practice Address - Phone:973-957-0551
Practice Address - Fax:866-396-3054
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10709900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NR10709900OtherLICENSE