Provider Demographics
NPI:1487773164
Name:OCCHIUTO, TINA MARIE (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:MARIE
Last Name:OCCHIUTO
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:182 SOUTH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5350
Mailing Address - Country:US
Mailing Address - Phone:973-936-1802
Mailing Address - Fax:973-695-1480
Practice Address - Street 1:182 SOUTH ST STE 1
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5350
Practice Address - Country:US
Practice Address - Phone:973-267-0300
Practice Address - Fax:973-984-2670
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00128800363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care