Provider Demographics
NPI:1851727150
Name:CONEY, ELEASE ELOISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELEASE
Middle Name:ELOISE
Last Name:CONEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 COLTS NECK DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-5610
Mailing Address - Country:US
Mailing Address - Phone:856-906-8939
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE E STE A1
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2142
Practice Address - Country:US
Practice Address - Phone:856-254-0609
Practice Address - Fax:856-272-7496
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00455500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily