1033553391 NPI number — MS. ALAINA MARIE GUILIANA FNP-BC RN

Table of content: MS. ALAINA MARIE GUILIANA FNP-BC RN (NPI 1033553391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033553391 NPI number — MS. ALAINA MARIE GUILIANA FNP-BC RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUILIANA
Provider First Name:
ALAINA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-BC RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BENEDETTI
Provider Other First Name:
ALAINA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-BC RN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1033553391
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25 DUTCH HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLAIRSTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07825-4020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-310-8596
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
307 EGG HARBOR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08080-1850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
186-638-9272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00423700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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