Individual
MRS. MELANIE BERTHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
(856) 203-0592
Mailing address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
(856) 203-0592
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NR11632000
NJ
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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