Provider Demographics
NPI: | 1255887402 |
---|---|
Name: | ZAFRA, JUNE (RN BSN) |
Entity type: | Individual |
Prefix: | MISS |
First Name: | JUNE |
Middle Name: | |
Last Name: | ZAFRA |
Suffix: | |
Gender: | F |
Credentials: | RN BSN |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1704 WHITESVILLE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | TOMS RIVER |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08756 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 848-333-9237 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1704 WHITESVILLE RD |
Practice Address - Street 2: | |
Practice Address - City: | TOMS RIVER |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08755-1168 |
Practice Address - Country: | US |
Practice Address - Phone: | 848-333-9237 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2016-08-28 |
Last Update Date: | 2016-08-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 26NO09925800 | 364S00000X, 364SA2100X, 364SA2200X, 364SC1501X, 364SF0001X, 364SH0200X, 364SL0600X, 364SR0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 364SL0600X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Long-Term Care |
No | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
No | 364SA2100X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Acute Care |
No | 364SA2200X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Adult Health |
No | 364SC1501X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Community Health/Public Health |
No | 364SF0001X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Family Health |
No | 364SH0200X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Home Health |
No | 364SR0400X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Rehabilitation |