Michelle L Henritzy (NPI# 1376002444, PAC ID# 0547503534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376002444 |
| PAC ID by PECOS | 0547503534 |
| Professional Enrollment ID | I20190514002445 |
| Full Name | Michelle L Henritzy |
| Organization Legal Name | COOPER FAMILY MEDICINE PC |
| Address |
701 Route 73 N Marlton NJ 08053-3464 |
| Phone Number | 8568101800 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284530197 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1865 Harrison Ave, Suite 1300, Camden, NJ 08105-3602 | 8569630126 | COOPER FAMILY MEDICINE PC |
| 701 Route 73 N, Marlton, NJ 08053-3464 | 8568101800 | COOPER FAMILY MEDICINE PC |
| Organization Legal Name | COOPER FAMILY MEDICINE PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Galia Wilk | Physician Assistant | Cooper Family Medicine PC | 1865 Harrison Ave, Suite 1300, Camden, NJ 08105-3602 |
| Joanna Yun | Family Medicine | Cooper Family Medicine PC | 200 College Dr, Blackwood, NJ 08012-3228 |
| Neesha R Patel | Geriatric Medicine | Cooper Family Medicine PC | 141 S Black Horse Pike, Suite 1, Blackwood, NJ 08012-2957 |
| Michael J Voyack | Family Medicine | Cooper Family Medicine PC | 504 White Horse Pike, Haddon Heights, NJ 08035-1709 |
| Marie Edwige Louis | Family Medicine | Cooper Family Medicine PC | 1050 N Kings Hwy, Suite 105, Cherry Hill, NJ 08034-1909 |
| Edmund J Decker | Family Medicine | Cooper Family Medicine PC | 3820 Church Rd, Mt Laurel, NJ 08054-1106 |
| Camille Henry | Internal Medicine | Cooper Family Medicine PC | 504 White Horse Pike, Haddon Heights, NJ 08035-1709 |
| Mary Willard | Family Medicine | Cooper Family Medicine PC | 200 College Dr, Blackwood, NJ 08012-3228 |
| Kedron Nicole Horvath | Family Medicine | Cooper Family Medicine PC | 504 White Horse Pike, Haddon Heights, NJ 08035-1709 |
| Allen Clowers | Hospitalist | Cooper Family Medicine PC | 504 White Horse Pike, Haddon Heights, NJ 08035-1709 |
| Street Address |
701 ROUTE 73 N |
| City | MARLTON |
| State | NJ |
| Zip | 08053-3464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ferne E Sandler | Optometry | 701 Route 73 N, Suite 3, Marlton, NJ 08053-3464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
| Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
| Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Find all physicians in zip 08053 | |||
| City | MARLTON |
| Zip Code | 08053 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARLTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle L Henritzy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.