Active NPIIndividual provider

Kimberly Tallia, NURSE PRACTITIONER

Nurse Practitioner, Adult Health in Eatontown, New Jersey

NPI Number1144635517
Practice location
142 Route 35, Suite 103, Eatontown, NJ 07724-1876
Fax
732-389-1850
Last updated
June 24, 2014

Kimberly Tallia is a Nurse Practitioner, Adult Health based in Eatontown, NJ. Kimberly Tallia practices in Eatontown, NJ and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Kimberly Tallia is 1144635517 and holds a License No. 26NJ00488700 (NJ). The current practice location address for Kimberly Tallia is 142 Route 35, Suite 103, Eatontown, NJ 07724-1876 and can be reached out via phone at 732-389-5004 and via fax at 732-389-1850.

Provider Profile Details

NPI Number
1144635517
Provider Name
Kimberly Tallia
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
142 Route 35, Suite 103, Eatontown, NJ 07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2014
Last Update Date
June 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 Route 35
Suite 103
Eatontown, NJ 07724-1876
Zip
07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
142 Route 35
Suite 103
Eatontown, NJ 07724-1876
City
Eatontown
State
NJ
Zip
07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850

License Information

License Number
26NJ00488700
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kimberly Tallia, NURSE PRACTITIONER?

The NPI number of Kimberly Tallia, NURSE PRACTITIONER is 1144635517. It was assigned on June 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Kimberly Tallia, NURSE PRACTITIONER?

Kimberly Tallia, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00488700.

Where does Kimberly Tallia, NURSE PRACTITIONER practice?

The practice location is 142 Route 35, Suite 103, Eatontown, NJ 07724-1876. The office can be reached at 732-389-5004 (phone) or 732-389-1850 (fax).

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 1144635517 directly on the NPPES registry website.

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