Basic Information
| Provider Information | |||||||||
| NPI: | 1659593770 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAFURI-ACEVEDO | ||||||||
| FirstName: | LENORA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5525 RESEARCH PARK DRIVE | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212284664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326432070 | ||||||||
| FaxNumber: | 7326432015 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 ESSEX RD | ||||||||
| Address2: | SEABROOK VILLAGE, | ||||||||
| City: | TINTON FALLS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077532400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326432070 | ||||||||
| FaxNumber: | 7326432015 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 10/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 303886 | NY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 163W00000X | 26NR09948900 | NJ | Y | Nursing Service Providers | Registered Nurse |
No ID Information.