Basic Information
Provider Information
NPI: 1033662259
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TEMPEL
FirstName: NANCY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25 IKEA DR
Address2:  
City: WESTAMPTON
State: NJ
PostalCode: 080605115
CountryCode: US
TelephoneNumber: 6092679339
FaxNumber: 6095180750
Practice Location
Address1: 25 IKEA DR
Address2:  
City: WESTAMPTON
State: NJ
PostalCode: 080605115
CountryCode: US
TelephoneNumber: 6092679339
FaxNumber: 6095180750
Other Information
ProviderEnumerationDate: 07/25/2016
LastUpdateDate: 07/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X26NO06205700NJY Nursing Service ProvidersRegistered Nurse 
163W00000X22573687NYN Nursing Service ProvidersRegistered Nurse 

No ID Information.


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