Individual
MRS. VIRGINIE ELAINE PERNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, MSN, CCRN
Contact information
Practice address
30 PROSPECT AVE, 5PE, ROOM 5949, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, 5PE, ROOM 5949, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00551600
NJ
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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