Provider Demographics
NPI:1235170127
Name:MITELE, HELEN (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:MITELE
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 N BEERS ST
Mailing Address - Street 2:STE 2 C
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1517
Mailing Address - Country:US
Mailing Address - Phone:732-888-8255
Mailing Address - Fax:732-888-7682
Practice Address - Street 1:723 N BEERS ST
Practice Address - Street 2:STE 2 C
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1517
Practice Address - Country:US
Practice Address - Phone:732-888-8255
Practice Address - Fax:732-888-7682
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN76322363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS97097Medicare UPIN
NJ034763NUFMedicare PIN