| Doctor Name: | MRS. MELISSA BREI WALKER |
| NPI Number: | 1659533487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., A.P.N., C |
| License Number: | 26NJ00164000 |
| Business Practice Address: | 1433 Ringwood Ave The Wanaque Center For Nursing And Rehabilitation Haskell, NJ - 074201520 |
| Business Phone Number: | 9738392119 |
| Business Fax Number: | 9138392319 |
| Mailing Address: | 1433 Ringwood Ave, The Wanaque Center For Nursing And Rehabilitation HASKELL |
| State: | NJ |
| Postal Code: | 074201520 |
| Phone Number: | 9738392119 |
| Fax Number: | 9138392319 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00164000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |