Provider Demographics
NPI:1912516063
Name:PRIMAS, TONI MARIE (RN MSN)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:MARIE
Last Name:PRIMAS
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ RM 220
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2439
Mailing Address - Fax:856-361-1771
Practice Address - Street 1:SHERIDAN PAVILION
Practice Address - Street 2:THREE COOPER PLAZA SUITE 220
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2439
Practice Address - Fax:856-361-1771
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO11899700163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)