Provider Demographics
NPI:1770525248
Name:OUTINEN, PAIVI MARJAANA (RN, MSW)
Entity type:Individual
Prefix:MRS
First Name:PAIVI
Middle Name:MARJAANA
Last Name:OUTINEN
Suffix:
Gender:F
Credentials:RN, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DREXEL DR
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-3309
Mailing Address - Country:US
Mailing Address - Phone:973-600-5744
Mailing Address - Fax:973-227-9950
Practice Address - Street 1:19 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2107
Practice Address - Country:US
Practice Address - Phone:973-665-1782
Practice Address - Fax:973-665-1782
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013822001041C0700X
NJ26NO08591900163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ721159000OtherMAGELLAN
NJP3177785OtherOXFORD BEHAVIORAL HEALTH
NJ2187131OtherCIGNA
NJ240453648OtherUBH
NJ240453648OtherUBH