Alix Detullio, APN
Clinical Nurse Specialist, Acute Care in Freehold, New Jersey
1043618747- Practice location
- 901 W Main St, Freehold, NJ 07728-2537
- Phone
- 732-431-0023
- Fax
- —
- Last updated
- December 11, 2014
Alix Detullio is a Clinical Nurse Specialist, Acute Care based in Freehold, NJ. Alix Detullio practices in Freehold, NJ and has the professional credentials of APN. The NPI Number for Alix Detullio is 1043618747 and holds a License No. 26NJ00532200 (NJ). The current practice location address for Alix Detullio is 901 W Main St, Freehold, NJ 07728-2537 and can be reached out via phone at 732-431-0023.
Provider Profile Details
- NPI Number
- 1043618747
- Provider Name
- Alix Detullio
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 901 W Main St, Freehold, NJ 07728-2537
- Phone Number
- 732-431-0023
- Primary Taxonomy
- Clinical Nurse Specialist, Acute Care · 364SA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2014
- Last Update Date
- December 11, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 901 W Main St
Freehold, NJ 07728-2537 - City
- Freehold
- State
- New Jersey
- Zip
- 07728-2537
- Phone Number
- 732-431-0023
Provider Business Mailing Address Details
- Address
- 4255 Route 9 N
Suite B
Freehold, NJ 07728-8305 - City
- Freehold
- State
- NJ
- Zip
- 07728-8305
- Phone Number
- 732-431-0023
License Information
- License Number
- 26NJ00532200
- License State
- NJ
- Taxonomy
- Clinical Nurse Specialist, Acute Care · 364SA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alix Detullio, APN?
The NPI number of Alix Detullio, APN is 1043618747. It was assigned on December 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Alix Detullio, APN?
Alix Detullio, APN is registered under the primary taxonomy Clinical Nurse Specialist, Acute Care (code 364SA2100X), licensed in NJ under license number 26NJ00532200.
Where does Alix Detullio, APN practice?
The practice location is 901 W Main St, Freehold, NJ 07728-2537. The office can be reached at 732-431-0023 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043618747 directly on the NPPES registry website.