Individual
MRS. DIANE MARIE FERNICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
230 RIVERSIDE DR, BAYVILLE, NJ 08721-2531
(732) 232-0158
Mailing address
230 RIVERSIDE DR, BAYVILLE, NJ 08721-2531
(732) 232-0158
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00244000
NJ
Other
Enumeration date
08/25/2009
Last updated
04/21/2026
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