MRS. MICHELLE DESTOUCHE APN NPI 1801673207

NPI Information

  • NPI: 1801673207
  • Provider Name: MRS. MICHELLE DESTOUCHE, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 241 WESTFIELD AVE
    CLARK, NJ
    ZIP 07066
  • Phone: (866) 389-2727

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NPI Details

MRS. Michelle Destouche, APN is a family nurse practitioner in Clark, NJ. MRS. Michelle Destouche, APN NPI is 1801673207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

241 WESTFIELD AVE
CLARK, NJ
ZIP 07066-547
Phone: (866) 389-2727

The NPI 1801673207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NR14342600NEW JERSEYNo
2363LF0000XNurse PractitionerFamily26NJ14866000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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