Provider Demographics
NPI:1932387891
Name:CANFIELD, NANCY L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 TAFT DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2726
Mailing Address - Country:US
Mailing Address - Phone:732-295-8126
Mailing Address - Fax:732-295-8127
Practice Address - Street 1:108 TAFT DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2726
Practice Address - Country:US
Practice Address - Phone:732-295-8126
Practice Address - Fax:732-295-8127
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP03847200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse