Individual
MARIA ELENA MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGPCNP-BC
Contact information
Practice address
401 YOUNG AVE STE 275, MOORESTOWN, NJ 08057
(856) 291-8855
(856) 291-8844
Mailing address
593 CRANBURY RD, EAST BRUNSWICK, NJ 08816-4093
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00503800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00503800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0494364
—
NJ
01
—
421606
MEDICARE
NJ
Enumeration date
06/17/2014
Last updated
09/17/2024
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