Provider Demographics
NPI:1801971395
Name:VENTRONE, NANCY LEE (APN-BC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LEE
Last Name:VENTRONE
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LEE
Other - Last Name:CRIMOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1232
Mailing Address - Country:US
Mailing Address - Phone:732-933-0601
Mailing Address - Fax:
Practice Address - Street 1:1 RIVERVIEW PLZ
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1864
Practice Address - Country:US
Practice Address - Phone:732-530-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00112900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health