MEDICARE: MS. PATRICIA LEE WESCH APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	26NJ00297300	NJ
2	282N00000X	General Acute Care Hospital	26NJ00297300	NJ

General Provider Information

NPI Number	:	1174811178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA LEE WESCH APN

Provider Business Mailing Address
First Line	:	19 CAROL LN
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-1305
Country	:	US
Telephone Number	:	732-276-6902
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 CAROL LN
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-1305
Country	:	US
Telephone Number	:	732-276-6902
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	11/21/2024

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