Provider Demographics
NPI:1205908076
Name:CONLEY, NANCY T (RN,CNOR,CRNFA)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:T
Last Name:CONLEY
Suffix:
Gender:F
Credentials:RN,CNOR,CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2376
Mailing Address - Country:US
Mailing Address - Phone:732-915-6373
Mailing Address - Fax:
Practice Address - Street 1:82 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2376
Practice Address - Country:US
Practice Address - Phone:732-915-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06452900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant