Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELLEN JO FASANARO, NP
ActiveMS. ELLEN JO FASANARO, NP is a Pediatric Nurse Practitioner healthcare provider located in HAWTHORNE, New Jersey. NPI 1760526610 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · HAWTHORNE, NJ
Registration Details
- NPI Number
- 1760526610
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2007 (19.468900921132 yrs)
- Last Updated
- Jul 8, 2007
- License
-
26NN08252000 (NJ)
Practice Information
- Address
-
1114 GOFFLE RDHAWTHORNE, NJ, 075062014Browse NJ providers · Browse ZIP 07506
- Phone
- 9734277676
- Fax
- 9734277476
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.