Basic Information
Provider Information
NPI: 1508075565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARONE
FirstName: NICOLE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 409 ROUTE 70 EAST
Address2: 2ND FLOOR
City: CHERRY HILL
State: NJ
PostalCode: 080032144
CountryCode: US
TelephoneNumber: 8567950587
FaxNumber: 8566510794
Practice Location
Address1: 409 ROUTE 70 EAST
Address2: 2ND FLOOR
City: CHERRY HILL
State: NJ
PostalCode: 080032144
CountryCode: US
TelephoneNumber: 8567950587
FaxNumber: 8564244994
Other Information
ProviderEnumerationDate: 05/22/2007
LastUpdateDate: 08/01/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001XSP007556PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
363LX0001X26NJ00028300NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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