Active NPIIndividual providerSole proprietor

Astin Civitano, FNP

Nurse Practitioner, Family in Kinnelon, New Jersey

NPI Number1609442714
Practice location
33 Powderhorn Dr, Kinnelon, NJ 07405-2934
Fax
—
Last updated
May 29, 2021

Astin Civitano is a Nurse Practitioner, Family based in Kinnelon, NJ. Astin Civitano practices in Kinnelon, NJ and has the professional credentials of FNP. The NPI Number for Astin Civitano is 1609442714 and holds a License No. 26NJ01154200 (NJ). The current practice location address for Astin Civitano is 33 Powderhorn Dr, Kinnelon, NJ 07405-2934 and can be reached out via phone at 973-865-7501.

Provider Profile Details

NPI Number
1609442714
Provider Name
Astin Civitano
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
33 Powderhorn Dr, Kinnelon, NJ 07405-2934
Phone Number
973-865-7501
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
May 29, 2021
Last Update Date
May 29, 2021
Certification Date
May 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Powderhorn Dr
Kinnelon, NJ 07405-2934
Zip
07405-2934
Phone Number
973-865-7501
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
33 Powderhorn Dr
Kinnelon, NJ 07405-2934
City
Kinnelon
State
NJ
Zip
07405-2934
Phone Number
973-865-7501

License Information

License Number
26NJ01154200
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Astin Civitano, FNP?

The NPI number of Astin Civitano, FNP is 1609442714. It was assigned on May 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Astin Civitano, FNP?

Astin Civitano, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01154200.

Where does Astin Civitano, FNP practice?

The practice location is 33 Powderhorn Dr, Kinnelon, NJ 07405-2934. The office can be reached at 973-865-7501 (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 1609442714 directly on the NPPES registry website.

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