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Individual

MELISSA C HETZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-C

Contact information

Practice address
255 W SPRING VALLEY AVE STE 101, MAYWOOD, NJ 07607-1444
(201) 487-8866
(201) 487-2602
Mailing address
PO BOX 95000 CL# 4480, PHILADELPHIA, PA 19195-4480
(973) 873-7000
(973) 873-7035

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14503200
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00871400
NJ
363LF0000X
Family Nurse Practitioner
26NJ00871400
NJ

Other

Enumeration date
11/12/2018
Last updated
06/24/2021
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