Individual
ELA TENPENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
111 W WATER ST, TOMS RIVER, NJ 08753
(732) 244-4700
(732) 244-2804
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN11065100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161663
GHI PPO
NJ
01
—
320567
AMERICAID/AMERIGROUP
NJ
01
—
3K5255
HEALTHNET
NJ
01
—
45215
UNIVERSITY HEALTH PLANS
NJ
01
—
9261217
AETNA PPO
NJ
Enumeration date
06/30/2005
Last updated
06/14/2018
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