Provider Demographics
NPI:1548984867
Name:PAYANO, NOELIA CAROLINA (LPN)
Entity type:Individual
Prefix:
First Name:NOELIA
Middle Name:CAROLINA
Last Name:PAYANO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2921
Mailing Address - Country:US
Mailing Address - Phone:201-398-5490
Mailing Address - Fax:
Practice Address - Street 1:118 GRAND ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2921
Practice Address - Country:US
Practice Address - Phone:201-398-5490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP06821600164W00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty