Provider Demographics
NPI:1184082349
Name:FEHNEL, CARA (APN)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:FEHNEL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:THURLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2242
Mailing Address - Country:US
Mailing Address - Phone:732-663-0300
Mailing Address - Fax:732-776-6601
Practice Address - Street 1:11 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2242
Practice Address - Country:US
Practice Address - Phone:732-663-0300
Practice Address - Fax:732-776-6601
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015811363LG0600X
NJ26NJ00772700363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology