Provider Demographics
NPI:1972245074
Name:IENTILE, APRIL JEAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:JEAN
Last Name:IENTILE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 RT 206
Mailing Address - Street 2:
Mailing Address - City:SANDYSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07826-4148
Mailing Address - Country:US
Mailing Address - Phone:973-948-7595
Mailing Address - Fax:
Practice Address - Street 1:237 RT. 206
Practice Address - Street 2:
Practice Address - City:SANDYSTON
Practice Address - State:NJ
Practice Address - Zip Code:07826-4148
Practice Address - Country:US
Practice Address - Phone:973-948-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-09
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01296200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty