Individual provider · NPI-1

Melissa H Alegre-Guzman, Nurse practitioner

Nurse Practitioner · Hackensack, NJ

NPI number1407277833
StatusActive
Last updated in NPPESApr 24, 2024

Details

NPI
1407277833
Entity type
Individual (NPI-1)
Name
Melissa H Alegre-Guzman
Credential
Nurse practitioner
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2014
Certification date
Apr 24, 2024
Last updated
Apr 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN257239GAYes
363LA2200X Nurse Practitioner, Adult HealthRN257239GA
363LP2300X Nurse Practitioner, Primary Care26NJ00476200NJ

Practice location

92 Summit Ave
Hackensack, NJ 07601-1263

Phone 201-342-0066 · Fax 201-342-0079

Mailing address

4791 S Main St
Acworth, GA 30101-5324

Phone 770-422-1400

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