Mae L Tietje, MSN, RN, APN, AGNP-C
Nurse Practitioner, Primary Care in Atlantic City, New Jersey
1730780479- Practice location
- 3830 Atlantic Ave, Atlantic City, NJ 08401-6080
- Phone
- 609-345-6000
- Fax
- —
- Last updated
- November 7, 2020
Mae Lynne Tietje is a Nurse Practitioner, Primary Care based in Atlantic City, NJ. Mae Lynne Tietje practices in Atlantic City, NJ and has the professional credentials of MSN, RN, APN, AGNP-C. The NPI Number for Mae Lynne Tietje is 1730780479 and holds a License No. 26NJ01069800 (NJ). The current practice location address for Mae Lynne Tietje is 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 and can be reached out via phone at 609-345-6000.
Provider Profile Details
- NPI Number
- 1730780479
- Provider Name
- Mae Lynne Tietje
- Credential
- MSN, RN, APN, AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3830 Atlantic Ave, Atlantic City, NJ 08401-6080
- Phone Number
- 609-345-6000
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2020
- Last Update Date
- November 7, 2020
- Certification Date
- November 7, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3830 Atlantic Ave
Atlantic City, NJ 08401-6080 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-6080
- Phone Number
- 609-345-6000
Provider Business Mailing Address Details
- Address
- 274 Deerfield Dr
Mays Landing, NJ 08330-4924 - City
- Mays Landing
- State
- NJ
- Zip
- 08330-4924
- Phone Number
- 609-204-6792
License Information
- License Number
- 26NJ01069800
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mae L Tietje, MSN, RN, APN, AGNP-C?
The NPI number of Mae L Tietje, MSN, RN, APN, AGNP-C is 1730780479. It was assigned on November 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Mae L Tietje, MSN, RN, APN, AGNP-C?
Mae L Tietje, MSN, RN, APN, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ01069800.
Where does Mae L Tietje, MSN, RN, APN, AGNP-C practice?
The practice location is 3830 Atlantic Ave, Atlantic City, NJ 08401-6080. The office can be reached at 609-345-6000 (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 1730780479 directly on the NPPES registry website.