Provider Demographics
NPI:1760781736
Name:SCIORTINO, HILDA GAIL (APN)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:GAIL
Last Name:SCIORTINO
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 1:16 DITMARS CIR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4531
Mailing Address - Country:US
Mailing Address - Phone:908-963-0350
Mailing Address - Fax:
Practice Address - Street 1:18 CENTRE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-1501
Practice Address - Country:US
Practice Address - Phone:609-655-5178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00308700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ240028DFFMedicare PIN