MEDICARE: MELISSA L PRZEMIENIECKI 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	363LF0000X	Family Nurse Practitioner	26NJ00608600	NJ

General Provider Information

NPI Number	:	1902275969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA L PRZEMIENIECKI APN

Provider Business Mailing Address
First Line	:	ONE HAMILTON HEALTH PLACE
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08690
Country	:	US
Telephone Number	:	609-584-6763
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 WHITEHORSE HAMILTON SQUARE RD STE D1
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3540
Country	:	US
Telephone Number	:	609-584-6763
Fax Number	:	609-890-0265

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

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	03/30/2022

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