Provider Demographics
NPI:1982657284
Name:DUIGON, ALICE (APN)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:DUIGON
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 1:1944 CORLIES AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4863
Mailing Address - Country:US
Mailing Address - Phone:732-775-8444
Mailing Address - Fax:732-775-8550
Practice Address - Street 1:1944 CORLIES AVE STE 101
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4863
Practice Address - Country:US
Practice Address - Phone:732-775-8444
Practice Address - Fax:732-775-8550
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO07990800163W00000X
NJ26NC07990800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0117676Medicaid
NJQ60401Medicare UPIN
NJ097115Medicare PIN