Provider Demographics
NPI:1164214367
Name:MINCHALA, ALINE FRANCESSCA (NP)
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:FRANCESSCA
Last Name:MINCHALA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 BUCKINGHAM CIR # A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3457
Mailing Address - Country:US
Mailing Address - Phone:908-278-7909
Mailing Address - Fax:
Practice Address - Street 1:2203 BUCKINGHAM CIR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3457
Practice Address - Country:US
Practice Address - Phone:908-278-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01168900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care