Provider Demographics
NPI:1649034851
Name:MCELWEE, MOLLY MICHELLE (APN)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:MICHELLE
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 WHELDON SHIVERS DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2428
Mailing Address - Country:US
Mailing Address - Phone:609-276-3238
Mailing Address - Fax:
Practice Address - Street 1:723 N BEERS ST STE 2G
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1512
Practice Address - Country:US
Practice Address - Phone:732-788-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15004200363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health