IndividualActive
Alix Detullio, APN
NPI 1043618747 · Acute Care Clinical Nurse Specialist · Freehold, NJ
Provider details
- NPI number
- 1043618747
- Entity type
- Individual
- Primary specialty
- Acute Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00532200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
901 W Main St
Freehold, NJ 07728-2537
Phone: (732) 431-0023
Approximate (ZIP-level) locationGet directions
Mailing address
4255 Route 9 N
Freehold, NJ 07728-8305
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2014-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.