Individual
MELISSA E SOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1805 ROUTE 206 # 111213, SOUTHAMPTON, NJ 08088-3558
(609) 261-0240
(609) 291-8880
Mailing address
8 BRIARCLIFF RD, MARLTON, NJ 08053-2906
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NN04324800
NJ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
TP001923G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR04324800
RN LICENSE
NJ
01
—
RN207232L
REGISTERED NURSE LICENSE
PA
Enumeration date
07/09/2008
Last updated
09/28/2022
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