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NPI Profile for MRS. MICHELLE N AYVAS FONTANA in WAYNE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1295664068 |
|
| Status | Active | |
| Credentials | FNP STUDENT | |
| Entity | Individual | |
| Enumeration date | 05/18/2026 | |
| Last updated | 05/18/2026 - About 3 weeks ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE N AYVAS FONTANA, FNP STUDENT