Provider Demographics
NPI:1366693970
Name:SOLARI, TINA M (APN)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:M
Last Name:SOLARI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:BARETT, DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNPC
Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19723-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4000
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1925 PACIFIC AVE.
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6713
Practice Address - Country:US
Practice Address - Phone:609-441-8087
Practice Address - Fax:302-651-4945
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08474000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner