Basic Information
Provider Information
NPI: 1629730296
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUTTONE
FirstName: LUCIA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: AGPCNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 465 SOUTH ST STE 103
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 079606442
CountryCode: US
TelephoneNumber: 9736566954
FaxNumber: 9732907495
Practice Location
Address1: 215 NORTH AVE W
Address2:  
City: WESTFIELD
State: NJ
PostalCode: 070901491
CountryCode: US
TelephoneNumber: 9082324321
FaxNumber: 9082327788
Other Information
ProviderEnumerationDate: 10/11/2021
LastUpdateDate: 04/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X26NJ01212000NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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