Active NPIIndividual provider

Mary Ellen Lodge, APN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Sewell, New Jersey

NPI Number1942044276
Practice location
36 Appletree Ln, Sewell, NJ 08080-3022
Fax
—
Last updated
June 21, 2024

Mary Ellen Lodge is a Nurse Practitioner, Psych/Mental Health based in Sewell, NJ. Mary Ellen Lodge practices in Sewell, NJ and has the professional credentials of APN, PMHNP-BC. The NPI Number for Mary Ellen Lodge is 1942044276 and holds a License No. 26NJ15091600 (NJ). The current practice location address for Mary Ellen Lodge is 36 Appletree Ln, Sewell, NJ 08080-3022 and can be reached out via phone at 856-373-2583.

Provider Profile Details

NPI Number
1942044276
Provider Name
Mary Ellen Lodge
Credential
APN, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
36 Appletree Ln, Sewell, NJ 08080-3022
Phone Number
856-373-2583
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2024
Last Update Date
June 21, 2024
Certification Date
April 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Appletree Ln
Sewell, NJ 08080-3022
City
Sewell
Zip
08080-3022
Phone Number
856-373-2583
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
36 Appletree Ln
Sewell, NJ 08080-3022
City
Sewell
State
NJ
Zip
08080-3022
Phone Number
856-373-2583

License Information

License Number
26NJ15091600
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mary Ellen Lodge, APN, PMHNP-BC?

The NPI number of Mary Ellen Lodge, APN, PMHNP-BC is 1942044276. It was assigned on June 21, 2024 and is currently active in the NPPES registry.

What is the specialty of Mary Ellen Lodge, APN, PMHNP-BC?

Mary Ellen Lodge, APN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15091600.

Where does Mary Ellen Lodge, APN, PMHNP-BC practice?

The practice location is 36 Appletree Ln, Sewell, NJ 08080-3022. The office can be reached at 856-373-2583 (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 1942044276 directly on the NPPES registry website.

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