Healthcare Provider Details

I. General information

NPI: 1659896660
Provider Name (Legal Business Name): MELISSA MURANO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 N MAIN ST
MARLBORO NJ
07746-1429
US

IV. Provider business mailing address

32 COTTONWOOD DR
SAYREVILLE NJ
08872-1840
US

V. Phone/Fax

Practice location:
  • Phone: 732-462-4100
  • Fax:
Mailing address:
  • Phone: 732-325-4182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00752400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ00752400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: