Provider Demographics
NPI:1306609243
Name:INTRONA, ALANA ENZA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:ENZA
Last Name:INTRONA
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-1611
Mailing Address - Country:US
Mailing Address - Phone:201-446-7062
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14988900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care