Provider Demographics
NPI:1922335090
Name:SCAGLIONE, LEANNE CATHERINE (APN)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:CATHERINE
Last Name:SCAGLIONE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 HOLLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1909
Mailing Address - Country:US
Mailing Address - Phone:201-896-8942
Mailing Address - Fax:
Practice Address - Street 1:238 HOLLISTER AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1909
Practice Address - Country:US
Practice Address - Phone:201-896-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ08797100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health