Provider Demographics
NPI:1679391452
Name:CANTONI, DENISE M (BSN, RN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:CANTONI
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-6129
Mailing Address - Country:US
Mailing Address - Phone:609-364-4382
Mailing Address - Fax:856-507-8987
Practice Address - Street 1:2400 MADISON AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-6129
Practice Address - Country:US
Practice Address - Phone:609-364-4382
Practice Address - Fax:856-507-8987
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18140100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse