Madeline Kaylie Dorestil, APN
Nurse Practitioner, Family in Springfield, NJ. Individual provider (NPI-1).
NPI number1356092480
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1356092480
- Entity type
- Individual (NPI-1)
- Name
- Miss Madeline Kaylie Dorestil
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2022
- Certification date
- Jan 11, 2022
- Last updated
- Jan 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ01239300 | NJ | Yes |
Practice location
126 Us Highway 22Springfield, NJ 07081-3175
Phone 973-381-0150
Mailing address
234 Globe AveUnion, NJ 07083-7242
Phone 862-218-8245
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