Individual
MARY MICHELE HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR18574900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01355400
NJ
Other
Enumeration date
08/01/2022
Last updated
09/07/2022
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