Provider Demographics
NPI:1851632723
Name:SCHOALES, LUCILLE (APN, NP-C)
Entity Type:Individual
Prefix:
First Name:LUCILLE
Middle Name:
Last Name:SCHOALES
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-3008
Mailing Address - Country:US
Mailing Address - Phone:201-664-3082
Mailing Address - Fax:201-664-3667
Practice Address - Street 1:6 VOLVO DR
Practice Address - Street 2:
Practice Address - City:ROCKLEIGH
Practice Address - State:NJ
Practice Address - Zip Code:07647-2508
Practice Address - Country:US
Practice Address - Phone:201-564-6009
Practice Address - Fax:201-750-5086
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00419900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health