Melissa Brei Walker, R.N., A.P.N., C

Individual provider Active NPI Pediatric Nurse Practitioner · Haskell, NJ

NPI 1659533487 · NPPES record last updated Jul 2, 2008

Key facts

NPI
1659533487
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
26NJ00164000 (NJ)
Practice address
1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520
Phone
(973) 839-2119
Fax
(913) 839-2319
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00164000NJMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00164000 NJ Yes

Addresses

Primary practice location

1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520

Mailing address

1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520
Phone (973) 839-2119

Other providers in Haskell, NJ

All providers in Haskell, NJ · Pediatric Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.