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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICCAL A. SCOTT-LYEW, AGPC-NP

Active Sole Proprietor

MICCAL A. SCOTT-LYEW, AGPC-NP is a Primary Care Nurse Practitioner healthcare provider located in MONTCLAIR, New Jersey. NPI 1720673171 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · MONTCLAIR, NJ

Registration Details

NPI Number
1720673171
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2021 (5.4446871009763 yrs)
Last Updated
Jul 7, 2023
License
26NJO1148500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
28 VALLEY RD # 148
MONTCLAIR, NJ, 070422709
Browse NJ providers · Browse ZIP 07042
Phone
9735594600
Fax
8559984358
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in MONTCLAIR, NJ

Name Credential NPI
LYDIA ANN PATRICK-DELUCA MSN RN APN-C 1508098302
KELLY W MURAKATA AGNP-BC 1992076640
CARMELLE SUZELINE CHARLESTON APN 1518413038
DR. DIONNE HUTSON HENDY DNP, MSN-AGPCNP-BC 1851884456
JO-ANN S DEJEAN DNP, APN,AGNP-C 1801486725
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.