MEDICARE: MRS. MELISSA DAWN ALGIERI NP

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	363LP0200X	Pediatric Nurse Practitioner	26N011384700	NJ

General Provider Information

NPI Number	:	1306983606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA DAWN ALGIERI NP

Provider Business Mailing Address
First Line	:	89 S PROSPECT ST
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-1426
Country	:	US
Telephone Number	:	973-571-9225
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 WASHINGTON AVE
Second Line	:
City	:	NUTLEY
State	:	NJ
Zip	:	07110-3934
Country	:	US
Telephone Number	:	973-667-6676
Fax Number	:	973-667-6029

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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