Provider Demographics
NPI:1184801672
Name:NOLAN, CINDY LOUISE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LOUISE
Last Name:NOLAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:LOUISE
Other - Last Name:NAUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:42 E LAUREL RD STE 1800
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1338
Mailing Address - Country:US
Mailing Address - Phone:856-566-6843
Mailing Address - Fax:856-566-6419
Practice Address - Street 1:42 E LAUREL RD STE 1800
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1338
Practice Address - Country:US
Practice Address - Phone:856-566-6843
Practice Address - Fax:856-566-6419
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006702B363LF0000X
NJ26NJ00162300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0288373OtherMEDICAID
NJ0288373OtherMEDICAID
NJQ24292Medicare UPIN