MIE HEA PARK

ENGLEWOOD, NJ
NPI1902294598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP019778)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJ00544400)
Enumeration Date2015-01-05
Last Update Date2019-02-08
Business Address
MIE HEA PARK
475 GRAND AVE 2ND FLOOR
ENGLEWOOD, NJ 07631-4965
Phone number: 201-541-1111
Mailing Address
MIE HEA PARK
2290 GALLOWAY RD APT B9
BENSALEM, PA 19020-2956
Phone number: