Individual
MELANIE LYNN MANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 HARMON PLZ, SECAUCUS, NJ 07094-2803
(551) 257-7611
Mailing address
1 HARMON PLZ, SECAUCUS, NJ 07094-2803
(551) 257-7611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ00998400
NJ
363L00000X
Nurse Practitioner
26NJ00998400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00998400
NJ
Other
Enumeration date
12/12/2019
Last updated
04/26/2021
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