# SOUTHERN OCEAN REGISTERED NURSE FIRST ASSISTANT (RNFA),LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265699524
- **Authorized official:** MRS. DIANNE MILLIGAN ARNP/C;RNFA (PRESIDENT)
- **Authorized official phone:** (609) 597-4603

## Contact information

- **Practice address:** 201 PETER RD, MANAHAWKIN, NJ 08050-3659
- **Practice address phone:** (609) 597-4603
- **Mailing address:** 201 PETER RD, MANAHAWKIN, NJ 08050-3659
- **Mailing address phone:** (609) 597-4603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 26N005034800 | NJ | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00009800 | NJ | — |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP2016122 | FL | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0046655 | — | NJ |
| 01 | — | 054778ATW | MEDICARE ID-TYPE UNSPECIFIED | NJ |