Provider Demographics
NPI:1528083797
Name:WOLOSIN, NONA NAEGLE (NP)
Entity type:Individual
Prefix:MS
First Name:NONA
Middle Name:NAEGLE
Last Name:WOLOSIN
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 1:210 ROUTE 94
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07832-2764
Mailing Address - Country:US
Mailing Address - Phone:908-362-9285
Mailing Address - Fax:908-362-7756
Practice Address - Street 1:210 ROUTE 94
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:NJ
Practice Address - Zip Code:07832-2764
Practice Address - Country:US
Practice Address - Phone:908-362-9285
Practice Address - Fax:908-362-7756
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05080500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily