Provider Demographics
NPI:1891994299
Name:MCHALE, MAGGIE A (RN,MSN,APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:MAGGIE
Middle Name:A
Last Name:MCHALE
Suffix:
Gender:F
Credentials:RN,MSN,APRN-BC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:78 CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2903
Mailing Address - Country:US
Mailing Address - Phone:609-661-3251
Mailing Address - Fax:698-597-2063
Practice Address - Street 1:10 AVENUE OF TWO RIVERS
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1702
Practice Address - Country:US
Practice Address - Phone:732-492-1142
Practice Address - Fax:732-842-5726
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00113800363LA2200X
NJ26NR12272100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health