Organization
PRUDENT CLINICAL PROVIDERS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BETH MARCELLE NP (NP/CEO)
(856) 842-6677
Entity
Organization
Contact information
Practice address
2411 GREENWOOD DR, LINDENWOLD, NJ 08021-6787
(856) 842-6677
Mailing address
2411 GREENWOOD DR, LINDENWOLD, NJ 08021-6787
(856) 842-6677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
01/24/2020
Last updated
03/04/2020
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