Individual provider · Type 1 NPI

Michelyne Gavin, AGNP-C

Gerontology Nurse Practitioner · Englewood, NJ

NPI number 1386352797 Active

Practice location

350 Engle St
Englewood, NJ 07631-1808

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ01448900 (NJ)
Oncology Registered Nurse 163WX0200X26NR13949600 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1386352797

Michelyne Gavin, AGNP-C's National Provider Identifier is 1386352797, issued on Nov 14, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Englewood, NJ. The record was last updated on Oct 16, 2026.