Evans, Melissa Sue

Evans, Melissa Sue is an individual health care provider with primary practice located at 125 Chubb Ave , Lyndhurst NJ 07071-3504. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Evans, Melissa Sue can be contacted via phone (201) 559-7600.

Contact Information

Primary practice address
125 Chubb Ave Lyndhurst NJ 07071-3504
Phone: (201) 559-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00553200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00553200 New Jersey

Profile Details

NPI number 1124419726
LBN Legal business name Evans, Melissa Sue
Credentials APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2015
Last updated Nov 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124419726 NPPES
New Jersey Other 26 NJ00553200 NURSING,ADVANCED PRACTICE NURSE

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