Provider Demographics
NPI:1780136127
Name:NAGLE, TRACEY ANGEL (DNP, APN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TRACEY
Middle Name:ANGEL
Last Name:NAGLE
Suffix:
Gender:F
Credentials:DNP, APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 COURT HOUSE SOUTH DENNIS RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2126
Mailing Address - Country:US
Mailing Address - Phone:609-677-7211
Mailing Address - Fax:
Practice Address - Street 1:106 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2126
Practice Address - Country:US
Practice Address - Phone:609-677-7211
Practice Address - Fax:609-677-7210
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11390000163WM0102X, 163WS0200X
NJ26NJ01205600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WS0200XNursing Service ProvidersRegistered NurseSchool