Provider Demographics
NPI:1891022513
Name:MALONEY, GINA CAROLINE (APN,C)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:CAROLINE
Last Name:MALONEY
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 PORTSMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4250
Mailing Address - Country:US
Mailing Address - Phone:609-898-1148
Mailing Address - Fax:
Practice Address - Street 1:414 PORTSMOUTH RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4250
Practice Address - Country:US
Practice Address - Phone:609-898-1148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00261000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health