Provider Demographics
NPI:1134803273
Name:OCHIENG, PAULINE ANYANGO (APN FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:PAULINE
Middle Name:ANYANGO
Last Name:OCHIENG
Suffix:
Gender:F
Credentials:APN FNP-BC
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:ANYANGO
Other - Last Name:OLUOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 PATRIOT HILL DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4214
Mailing Address - Country:US
Mailing Address - Phone:913-832-7420
Mailing Address - Fax:
Practice Address - Street 1:34 PATRIOT HILL DR
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-4214
Practice Address - Country:US
Practice Address - Phone:913-832-7420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2023002824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily