Provider Demographics
NPI:1679634224
Name:SAPIENZA, JOAN (APN)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:SAPIENZA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WEST MAIN STREET-
Mailing Address - Street 2:CENTRA STATE MEDICAL CENTER
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-294-2716
Mailing Address - Fax:732-431-2561
Practice Address - Street 1:901 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-294-2716
Practice Address - Fax:732-431-2561
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNO83590363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner