Individual provider · Type 1 NPI
Mae Lynne Tietje, MSN, RN, APN, AGNP-C
Primary Care Nurse Practitioner · Atlantic City, NJ
NPI number
1730780479
Active
Practice location
3830 Atlantic Ave
Atlantic City, NJ 08401-6080
Mailing address
274 Deerfield Dr
Mays Landing, NJ 08330-4924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ01069800 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Atlantic City
About NPI 1730780479
Mae Lynne Tietje, MSN, RN, APN, AGNP-C's National Provider Identifier is 1730780479, issued on Nov 7, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Atlantic City, NJ. The record was last updated on Nov 7, 2020.