Provider Demographics
NPI:1891096848
Name:TFNP, INC.
Entity Type:Organization
Organization Name:TFNP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-288-1550
Mailing Address - Street 1:694 STATE ROUTE 15 S STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2249
Mailing Address - Country:US
Mailing Address - Phone:973-288-1550
Mailing Address - Fax:973-288-1552
Practice Address - Street 1:694 STATE ROUTE 15 S STE 105
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-2249
Practice Address - Country:US
Practice Address - Phone:973-288-1550
Practice Address - Fax:973-288-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LW0102X
NJ25MA04839100174400000X
NJ26NN07087000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ026205P65OtherFULLER MEDICARE PIN
NJ1043309081OtherANDREI BUNA, MD
NJ1891096848OtherADVANCED WOMEN'S HEALTH, LLC GROUP PIN
NJ1891096848OtherADVANCED WOMEN'S HEALTH, LLC GROUP PIN