IndividualActive
Amelia Fasciano
NPI 1083189054 · Adult Health Nurse Practitioner · Northfield, NJ
Provider details
- NPI number
- 1083189054
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00853400 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
510 Jackson Ave
Northfield, NJ 08225-1631
Phone: (609) 383-0200
Fax: (609) 383-8352
Approximate (ZIP-level) locationGet directions
Mailing address
510 Jackson Ave
Northfield, NJ 08225-1631
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2018-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.