Provider Demographics
NPI:1689788176
Name:DIPIERRI, DENISE (RN,MSN,ANP,C)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:DIPIERRI
Suffix:
Gender:F
Credentials:RN,MSN,ANP,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 FRANKLIN LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2773
Mailing Address - Country:US
Mailing Address - Phone:732-972-6996
Mailing Address - Fax:732-972-8610
Practice Address - Street 1:50 FRANKLIN LN
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2773
Practice Address - Country:US
Practice Address - Phone:732-972-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN76331363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6650406Medicaid
NJ6650406Medicaid
058530L8CMedicare ID - Type Unspecified