Individual
DIANE JANNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
115 N 34TH AVE, LONGPORT, NJ 08403-1622
(609) 703-8170
Mailing address
PO BOX 553, LONGPORT, NJ 08403-0553
(609) 703-8170
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
26NR08790500
NJ
Other
Enumeration date
02/06/2007
Last updated
06/20/2016
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