Provider Demographics
NPI:1184951030
Name:ELMANN, NANCY (NP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ELMANN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1997
Mailing Address - Country:US
Mailing Address - Phone:201-996-4849
Mailing Address - Fax:201-996-5703
Practice Address - Street 1:20 PROSPECT AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8504
Practice Address - Country:US
Practice Address - Phone:201-996-4849
Practice Address - Fax:201-996-5703
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00266000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner