Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26NO07205500 | NJ |
NPI | 1003021866 |
---|---|
Provider Name | Donna Melle |
First Address | Egg Harbor Township, NJ 08234-7256 |
Second Address | Galloway, NJ 08205-9403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 26/01/2021 |