Individual provider · Type 1 NPI
Alyssa Destefano, NP
Family Nurse Practitioner · Hackensack, NJ
NPI number
1326804840
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
331 Newman Springs Rd, Bldg 2, Ste 220
Red Bank, NJ 07701-5688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12009 (CT) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ15023400 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1326804840
Alyssa Destefano, NP's National Provider Identifier is 1326804840, issued on Feb 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hackensack, NJ. The record was last updated on Jan 16, 2025.