person
Miccal A. Scott-lyew, AGPC-NP
Primary Care Nurse Practitioner in Montclair, New Jersey
NPI 1720673171

Miccal A. Scott-lyew is a Primary Care Nurse Practitioner based in Warren, NJ and is specialized in Primary Care. Miccal A. Scott-lyew practices in Montclair, NJ and has the professional credentials of AGPC-NP. The NPI Number for Miccal A. Scott-lyew is 1720673171 and holds a License No. 26NJO1148500 (New Jersey).

The current practice location address for Miccal A. Scott-lyew is 28 Valley Rd # 148, Montclair, NJ and can be reached out via phone at 973-559-4600 and via fax at 855-998-4358.

Location: 28 Valley Rd # 148, Montclair, NJ, 07059-2640
person
Provider Profile Details
NPI Number
1720673171
Provider Name
Miccal A. Scott-lyew
Credential
AGPC-NP
Provider Entity Type
Individual
Gender
Female
Address
28 Valley Rd # 148, Montclair, NJ, 07059-2640
Phone Number
973-559-4600
Fax Number
855-998-4358
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Valley Rd # 148
City
State
Zip
07042-2709
Phone Number
973-559-4600
Fax Number
855-998-4358
person
Provider Business Mailing Address Details
Address
28 Valley Rd # 148
City
State
Zip
07042-2709
Phone Number
973-559-4600
Fax Number
855-998-4358
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
26NJO1148500 (New Jersey)
Definition
Definition to come...
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