Provider Demographics
NPI:1912045410
Name:DEVINE PAPARONE, PAMELA ANN (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ANN
Last Name:DEVINE PAPARONE
Suffix:
Gender:F
Credentials:RN, MSN
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Other - First Name:
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Mailing Address - Street 1:800 N HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-1124
Mailing Address - Country:US
Mailing Address - Phone:609-823-8167
Mailing Address - Fax:609-823-7206
Practice Address - Street 1:72 W JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9406
Practice Address - Country:US
Practice Address - Phone:609-652-2240
Practice Address - Fax:609-748-1029
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO05680800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health