Provider Demographics
NPI:1912140617
Name:MOTYKA-LITTLE, SANTINA (APN)
Entity Type:Individual
Prefix:
First Name:SANTINA
Middle Name:
Last Name:MOTYKA-LITTLE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROCKRIDGE TER
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4448
Mailing Address - Country:US
Mailing Address - Phone:973-270-8455
Mailing Address - Fax:973-361-0954
Practice Address - Street 1:6 ROCKRIDGE TER
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4448
Practice Address - Country:US
Practice Address - Phone:973-270-8455
Practice Address - Fax:973-328-0120
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11478200163WR0006X
NJ26NJ00767100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant