Active NPIIndividual providerSole proprietor

Melissa Tully, NP

Nurse Practitioner, Adult Health in Ringwood, New Jersey

NPI Number1710499017
Practice location
60 Skyline Dr, Ringwood, NJ 07456-2039
Fax
—
Last updated
October 26, 2017

Melissa Tully is a Nurse Practitioner, Adult Health based in Ringwood, NJ. Melissa Tully practices in Ringwood, NJ and has the professional credentials of NP. The NPI Number for Melissa Tully is 1710499017 and holds a License No. 26NJ00755400 (NJ). The current practice location address for Melissa Tully is 60 Skyline Dr, Ringwood, NJ 07456-2039 and can be reached out via phone at 973-962-4000.

Provider Profile Details

NPI Number
1710499017
Provider Name
Melissa Tully
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60 Skyline Dr, Ringwood, NJ 07456-2039
Phone Number
973-962-4000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2017
Last Update Date
October 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Skyline Dr
Ringwood, NJ 07456-2039
Zip
07456-2039
Phone Number
973-962-4000
Ringwood, NJ 07456Get directions →

Provider Business Mailing Address Details

Address
11 Bean CT
Wanaque, NJ 07465-1001
City
Wanaque
State
NJ
Zip
07465-1001
Phone Number
973-207-8426

License Information

License Number
26NJ00755400
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa Tully, NP?

The NPI number of Melissa Tully, NP is 1710499017. It was assigned on October 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Melissa Tully, NP?

Melissa Tully, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00755400.

Where does Melissa Tully, NP practice?

The practice location is 60 Skyline Dr, Ringwood, NJ 07456-2039. The office can be reached at 973-962-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710499017 directly on the NPPES registry website.

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