Individual
SCARLETT IRENE METELLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1973 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3447
(407) 590-7342
Mailing address
4 S ORANGE AVE # 263, SOUTH ORANGE, NJ 07079-1702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
670111
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01176300
NJ
363LF0000X
Family Nurse Practitioner
F345692-01
NY
Other
Enumeration date
04/07/2020
Last updated
11/23/2021
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