Provider Demographics
NPI:1841885746
Name:ALBANESE, COREY ANN (APN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:COREY
Middle Name:ANN
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:COREY
Other - Middle Name:ANN
Other - Last Name:SWIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 NAUTILUS DR
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2465
Mailing Address - Country:US
Mailing Address - Phone:609-978-8870
Mailing Address - Fax:
Practice Address - Street 1:53 NAUTILUS DR
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2465
Practice Address - Country:US
Practice Address - Phone:609-978-8870
Practice Address - Fax:732-774-4407
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01123400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily