Individual provider · Type 1 NPI
Alix Detullio, APN
Acute Care Clinical Nurse Specialist · Freehold, NJ
NPI number
1043618747
Active
Practice location
901 W Main St
Freehold, NJ 07728-2537
Mailing address
4255 Route 9 N, Suite B
Freehold, NJ 07728-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Clinical Nurse Specialist Primary | 364SA2100X | 26NJ00532200 (NJ) |
Acute Care Clinical Nurse Specialist: Definition to come...
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About NPI 1043618747
Alix Detullio, APN's National Provider Identifier is 1043618747, issued on Dec 11, 2014. The primary taxonomy on file is Acute Care Clinical Nurse Specialist (364SA2100X), and the practice location is in Freehold, NJ. The record was last updated on Dec 11, 2014.