Individual
MS. MICHELE M SUTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, AGPCNP-BC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7772
Mailing address
77 HILL ST, WOOD RIDGE, NJ 07075-2315
(201) 638-7777
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00856700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00856700
NJ
Other
Enumeration date
09/27/2018
Last updated
05/07/2024
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