Individual
MELISSA LYNN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
603 N BROAD ST STE 301, WOODBURY, NJ 08096-1619
(856) 406-0307
Mailing address
357 HOLLY RD, MARLTON, NJ 08053-7025
(973) 432-6375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN612040
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010762
PA
Other
Enumeration date
04/12/2010
Last updated
09/29/2020
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