Corina M Ianculovici
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
2640 Hwy 70, Bldg.5 Building #5, Suite 102b
Manasquan
, New Jersey 08736-9552
Corina M Ianculovici
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
2640 Hwy 70, Bldg.5 Building #5, Suite 102b
Manasquan
, New Jersey 08736-9552
(347) 539-6369
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Corina M Ianculovici
- 2640 Hwy 70, Bldg.5 Building #5, Suite 102b
- Manasquan, NJ
- Zip : 08736-9552
- Phone : (347) 539-6369
Second Address
- Corina M Ianculovici
- 2640 Hwy 70, Bldg.5 Building #5, Suite 102b
- Manasquan, NJ
- Zip : 08736-9552
- Fax : (732) 292-0900
- Phone : (732) 292-0100
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Is Corina M Ianculovici a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00862000 | NJ |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00862000 | NJ |
National Provider Identifier
| NPI | 1053818559 |
|---|---|
| Provider Name | Corina M Ianculovici |
| First Address | Manasquan, NJ 08736-9552 |
| Second Address | Manasquan, NJ 08736-9552 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2018 |
| Last Update Date | 03/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.