Detullio, Alix

Detullio, Alix is an individual health care provider with primary practice located at 901 W Main St , Freehold NJ 07728-2537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Detullio, Alix can be contacted via phone (732) 431-0023.

Contact Information

Primary practice address
901 W Main St Freehold NJ 07728-2537
Phone: (732) 431-0023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 26NJ00532200 New Jersey

Profile Details

NPI number 1043618747
LBN Legal business name Detullio, Alix
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Dec 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers