Provider Demographics
NPI:1386119105
Name:CURSI-VOGLE, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CURSI-VOGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 KAYSER LN
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1151
Mailing Address - Country:US
Mailing Address - Phone:973-296-1734
Mailing Address - Fax:
Practice Address - Street 1:170 CHANGEBRIDGE ED
Practice Address - Street 2:BUILDING 3 B
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045
Practice Address - Country:US
Practice Address - Phone:973-803-0420
Practice Address - Fax:973-330-0350
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR05380300364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult