Provider Demographics
NPI:1750737870
Name:FIORE, DENISE (APN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:FIORE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MADISON AVE
Mailing Address - Street 2:APT. 17
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1468
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 MADISON AVE
Practice Address - Street 2:APT. 17
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1468
Practice Address - Country:US
Practice Address - Phone:973-714-0490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00634900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care