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Alyssa Destefano
Family Nurse Practitioner in Hackensack, New Jersey
NPI 1326804840

Alyssa Destefano is a Family Nurse Practitioner based in Hackensack, NJ and is specialized in Family. Alyssa Destefano practices in Hackensack, NJ. The NPI Number for Alyssa Destefano is 1326804840 and holds a License No. 12009 (New Jersey).

The current practice location address for Alyssa Destefano is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-2000.

Location: 30 Prospect Ave, Hackensack, NJ, 07601-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326804840
Provider Name
Alyssa Destefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 07601-1915
Phone Number
551-996-2000
Fax Number
Provider Enumeration Date
02/22/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
12009 (Connecticut)
Definition
Definition to come...
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