Provider Demographics
NPI:1336944693
Name:PFISTNER, ANGELA NARDONE (RN, APN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NARDONE
Last Name:PFISTNER
Suffix:
Gender:
Credentials:RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 ROUTE 22 STE 280
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2939
Mailing Address - Country:US
Mailing Address - Phone:973-971-7609
Mailing Address - Fax:
Practice Address - Street 1:1125 ROUTE 22 STE 280
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2939
Practice Address - Country:US
Practice Address - Phone:908-947-7019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15066500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily