Provider Demographics
NPI:1366913972
Name:FOX, VALINE ANN (MSN, APN)
Entity type:Individual
Prefix:
First Name:VALINE
Middle Name:ANN
Last Name:FOX
Suffix:
Gender:F
Credentials:MSN, APN
Other - Prefix:
Other - First Name:VALINE
Other - Middle Name:ANN
Other - Last Name:BOGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APN
Mailing Address - Street 1:18 GIRARD ST
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 PATERSON ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:732-235-7784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00861100363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology