Individual
MRS. MICHELE STEPHANIE MOURAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
370 GRAND AVE STE 102, ENGLEWOOD, NJ 07631-4109
(201) 567-3370
Mailing address
370 GRAND AVE STE 102, ENGLEWOOD, NJ 07631-4109
(201) 567-3370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00998700
NJ
Other
Enumeration date
03/11/2020
Last updated
04/26/2020
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