Provider Demographics
NPI:1386451854
Name:METELUS-YACINTHE, GUERLINE (APN)
Entity type:Individual
Prefix:
First Name:GUERLINE
Middle Name:
Last Name:METELUS-YACINTHE
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 1:85 BETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4503
Mailing Address - Country:US
Mailing Address - Phone:609-533-3660
Mailing Address - Fax:
Practice Address - Street 1:85 BETTS AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-4503
Practice Address - Country:US
Practice Address - Phone:609-533-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15221700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health