CANDICE OGLINE (NPI# 1295792331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792331 |
| Entity Type | Individual |
| Full Name | CANDICE OGLINE |
| Credential | RN, APN,C |
| Practice Address |
2475 Mcclellan Ave Pennsauken NJ 08109-4683 |
| Mailing Address |
2475 Mcclellan Ave Life At Lourdes Pennsauken NJ 08109 |
| Practice Telephone | 8566753660 |
| Practice Fax Number | 8566753659 |
| Mailing Telephone | 8566753660 |
| Mailing Fax Number | 8566753659 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00039200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0029475 | 05 |
| Street Address |
2475 MCCLELLAN AVE |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08109-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277936 | Gerald M Fendrick | Pediatrics | 2475 Mcclellan Ave, Suite B201, Pennsauken, NJ 08109 | 2005-12-29 |
| 1295272821 | Christine Kelly | Nurse Practitioner | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2017-01-20 |
| 1255680542 | Rita M Harder | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-09-03 |
| 1770830457 | Patricia Brown-lyons | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-13 |
| 1487901161 | Patricia Ann Smith | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-13 |
| 1891041208 | Alva Thompson | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-03 |
| 1255687695 | Deborah Hart | Physical Therapist | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-02 |
| 1871849315 | Jeri Middlebrook | Social Worker | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-02 |
| 1730435595 | Sandra S Fletcher | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-07-31 |
| 1801142658 | Mary P Salpas | Clinic/Center | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08109 |
Please comment or provide details below to improve the information on CANDICE OGLINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.