Provider Demographics
NPI:1972924850
Name:DELLOIACONO, NANCY (APN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DELLOIACONO
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 1:32 RED OAK WAY
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4908
Mailing Address - Country:US
Mailing Address - Phone:908-281-9274
Mailing Address - Fax:
Practice Address - Street 1:32 RED OAK WAY
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4908
Practice Address - Country:US
Practice Address - Phone:908-281-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00441600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health