Tietje, Mae Lynne
Tietje, Mae Lynne is an individual health care provider with primary practice located at 3830 Atlantic Ave , Atlantic City NJ 08401-6080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Tietje, Mae Lynne can be contacted via phone (609) 345-6000.Contact Information
Primary practice address
3830 Atlantic Ave
Atlantic City NJ 08401-6080
Phone: (609) 345-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 26NJ01069800 | New Jersey |
Profile Details
| NPI number | 1730780479 |
|---|---|
| LBN Legal business name | Tietje, Mae Lynne |
| Credentials | MSN, RN, APN, AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2020 |
| Last updated | Nov 7th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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