Provider Demographics
NPI:1104197029
Name:MOLONEY, MARGARET A (APN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:A
Last Name:MOLONEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 SALEM DR
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-2963
Mailing Address - Country:US
Mailing Address - Phone:856-678-4485
Mailing Address - Fax:856-678-5547
Practice Address - Street 1:84 SALEM DR
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-2963
Practice Address - Country:US
Practice Address - Phone:856-678-4485
Practice Address - Fax:856-678-5547
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00352500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health