Provider Demographics
NPI:1770743866
Name:RAGUSEO, PAOLA CAEIRO (RN, APN-BC)
Entity type:Individual
Prefix:MISS
First Name:PAOLA
Middle Name:CAEIRO
Last Name:RAGUSEO
Suffix:
Gender:F
Credentials:RN, APN-BC
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Mailing Address - Street 1:152 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1115
Mailing Address - Country:US
Mailing Address - Phone:732-382-9700
Mailing Address - Fax:732-382-9707
Practice Address - Street 1:152 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1115
Practice Address - Country:US
Practice Address - Phone:732-382-9700
Practice Address - Fax:732-382-9707
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00159800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health