Individual
MRS. CAROL VASOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 W WATER ST, TOMS RIVER, NJ 08753-6407
(732) 244-4700
(732) 244-8482
Mailing address
PO BOX 4979, TOMS RIVER, NJ 08754-4979
(732) 244-4700
(732) 244-8482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13660700
NJ
163W00000X
Registered Nurse
RN575054
PA
363LA2200X
Adult Health Nurse Practitioner
SP010720
PA
363LF0000X
Family Nurse Practitioner
26NJ00376100
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP012103
PA
Other
Enumeration date
09/16/2010
Last updated
06/06/2012
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