Mrs Michelle Destouche, APN | |
241 Westfield Ave, Clark, NJ 07066-1547 | |
(866) 389-2727 | |
Not Available |
Full Name | Mrs Michelle Destouche |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 241 Westfield Ave, Clark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801673207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR14342600 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ14866000 (New Jersey) | Primary |
Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
Mailing Address | Practice Location Address |
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Mrs Michelle Destouche, APN 241 Westfield Ave, Clark, NJ 07066-1547 Ph: (866) 389-2727 | Mrs Michelle Destouche, APN 241 Westfield Ave, Clark, NJ 07066-1547 Ph: (866) 389-2727 |
Cecelia Nugent, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 Westfield Ave, Clark, NJ 07066 Phone: 732-499-9160 Fax: 732-499-9161 | |
Tracey Coleman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 | |
Mrs. Svetlana Jayson, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 Fax: 732-382-9707 | |
Romee Gandhi, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 | |
Patricia Aponte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Commerce Pl, Clark, NJ 07066 Phone: 732-499-0606 Fax: 732-499-8128 | |
Mrs. Nadine A Williams, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 | |
Ms. Suleima Rosario-diaz, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 |