Individual
MICHELLE MIRASGELDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3175 STATE ROUTE 10 BLDG C, DENVILLE, NJ 07834-3491
(201) 317-4590
(973) 343-2134
Mailing address
PO BOX 95000, LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01447600
NJ
Other
Enumeration date
02/27/2023
Last updated
11/09/2023
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