Provider Demographics
NPI:1508075565
Name:PARONE, NICOLE A (NP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:A
Last Name:PARONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 ROUTE 70 EAST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2144
Mailing Address - Country:US
Mailing Address - Phone:856-795-0587
Mailing Address - Fax:856-651-0794
Practice Address - Street 1:409 ROUTE 70 EAST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2144
Practice Address - Country:US
Practice Address - Phone:856-795-0587
Practice Address - Fax:856-424-4994
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007556363LX0001X
NJ26NJ00028300363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology