Provider Demographics
NPI:1487084950
Name:DORIA, GIANNE (RN, NP-C)
Entity type:Individual
Prefix:
First Name:GIANNE
Middle Name:
Last Name:DORIA
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 MONMOUTH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1909
Mailing Address - Country:US
Mailing Address - Phone:201-850-2542
Mailing Address - Fax:
Practice Address - Street 1:473 MONMOUTH ST
Practice Address - Street 2:APT 2
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1909
Practice Address - Country:US
Practice Address - Phone:201-850-2542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13460500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse