Wanda Fox, APN,C

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

NN75220 Issued in NJ

Practice address

1000 Salem Rd
Suite B
Willingboro, NJ 08046-2852

Phone

(609) 871-2060

Fax

(609) 871-3535

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1174533608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BRETTON WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543134",
            "telephone_number": "609-871-2060",
            "fax_number": "609-871-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SALEM RD",
            "address_2": "SUITE B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462852",
            "telephone_number": "609-871-2060",
            "fax_number": "609-871-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "WANDA",
        "credential": "APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "NN75220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7563507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Flynn
• Iris Fobanjong, LPN
• Joseph P Focarile, DMD
• Foot Health Centers, P.a.
• Alexander Formolow, D.P.T.
• Ronette Franklin Martin, DOULA
• Heather Joy Frazier
• Ezekiel Blowinee Freeman
• Friends of Cyrus
• Friends of Cyrus

• Obstetrics & Gynecology Nurse Practitioner in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Obstetrics & Gynecology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.