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Individual

MELANIE ANNE MOUHTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
128 ROUTE 70 STE 1, MEDFORD, NJ 08055-2371
(609) 367-0900
(609) 367-0901
Mailing address
3 AVON CT, MOUNT LAUREL, NJ 08054-3102
(609) 626-1080

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01038900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0743721
NJ
Enumeration date
06/23/2020
Last updated
01/16/2025
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