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Individual

MELISSA SUE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C

Contact information

Practice address
125 CHUBB AVE, LYNDHURST, NJ 07071-3504
(201) 559-7600
Mailing address
3 AVENUE B, HELMETTA, NJ 08828-1234
(908) 705-5179

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00553200
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00553200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26 NJ00553200
NURSING,ADVANCED PRACTICE NURSE
NJ
Enumeration date
02/18/2015
Last updated
11/12/2019
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