Provider Demographics
NPI:1972712651
Name:PATALANO, JOANNE MARIE (RN, MSN,APN,C)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIE
Last Name:PATALANO
Suffix:
Gender:F
Credentials:RN, MSN,APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 GARFIELD AVE
Mailing Address - Street 2:UNIT 103
Mailing Address - City:AVON BY THE SEA
Mailing Address - State:NJ
Mailing Address - Zip Code:07717-1445
Mailing Address - Country:US
Mailing Address - Phone:732-776-7633
Mailing Address - Fax:
Practice Address - Street 1:15 GARFIELD AVE
Practice Address - Street 2:UNIT 103
Practice Address - City:AVON BY THE SEA
Practice Address - State:NJ
Practice Address - Zip Code:07717-1445
Practice Address - Country:US
Practice Address - Phone:732-776-7633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC08335600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health