| Candice Ogline, RN, APN,C | |
| 
					2475 Mcclellan Ave, Pennsauken, NJ 08109-4683  | |
| (856) 675-3660 | |
| (856) 675-3659 | 
| Full Name | Candice Ogline | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 2475 Mcclellan Ave, Pennsauken, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295792331 | NPI | - | NPPES | 
| 0029475 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00039200 (New Jersey) | Primary | 
| Entity Name | Hcr Manorcare Medical Services Of Florida Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20070622000506  | 
| Entity Name | Personal Np Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649658105 PECOS PAC ID: 9335455179 Enrollment ID: O20150825003750  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Candice Ogline, RN, APN,C 2475 Mcclellan Ave, Life At Lourdes, Pennsauken, NJ 08109 Ph: (856) 675-3660  | Candice Ogline, RN, APN,C 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 Ph: (856) 675-3660  | 
Shevon Borde Smith,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 John Tipton Blvd, Pennsauken, NJ 08110 Phone: 215-436-7842  | |
Cynthia Carter Alston, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5101 N Park Dr, Pennsauken, NJ 08109 Phone: 856-665-8844 Fax: 856-665-1888  | |
Kimberly Lynn Lanholm, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6981 North Park Drive, Suite 200a, Pennsauken, NJ 08109 Phone: 856-663-4949 Fax: 856-663-6076  | |
Lauren Mcneal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6565 Walnut Ave, Pennsauken, NJ 08109 Phone: 609-276-5039  | |
Ramona Hernandez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6705 Park Ave, Pennsauken, NJ 08109 Phone: 856-662-0017  | |
Christine Kelly, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2475 Mcclellan Ave, Pennsauken, NJ 08109 Phone: 856-675-3355  |