Maryanna V Domenic
Nurse Practitioner, Psych/Mental Health in Chester, New Jersey
1689306433- Practice location
- 45 Perry St Unit 2, Chester, NJ 07930-3604
- Phone
- 908-315-9913
- Fax
- —
- Last updated
- October 17, 2024
Maryanna Vrettos Domenic is a Nurse Practitioner, Psych/Mental Health based in Chester, NJ. Maryanna Vrettos Domenic practices in Chester, NJ. The NPI Number for Maryanna Vrettos Domenic is 1689306433 and holds a License No. 26NR16641700 (NJ). The current practice location address for Maryanna Vrettos Domenic is 45 Perry St Unit 2, Chester, NJ 07930-3604 and can be reached out via phone at 908-315-9913.
Provider Profile Details
- NPI Number
- 1689306433
- Provider Name
- Maryanna Vrettos Domenic
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 45 Perry St Unit 2, Chester, NJ 07930-3604
- Phone Number
- 908-315-9913
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2022
- Last Update Date
- October 17, 2024
- Certification Date
- October 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Perry St Unit 2
Chester, NJ 07930-3604 - City
- Chester
- State
- New Jersey
- Zip
- 07930-3604
- Phone Number
- 908-315-9913
Provider Business Mailing Address Details
- Address
- 45 Perry St Unit 2
Chester, NJ 07930-3604 - City
- Chester
- State
- NJ
- Zip
- 07930-3604
- Phone Number
- 908-315-9913
License Information
- License Number (1)
- 26NR16641700
- License State (1)
- NJ
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NJ15070600
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Chester, NJ
View all Nurse Practitioner, Psych/Mental Health providers in Chester →Frequently Asked Questions
What is the NPI number of Maryanna V Domenic?
The NPI number of Maryanna V Domenic is 1689306433. It was assigned on June 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Maryanna V Domenic?
Maryanna V Domenic is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR16641700.
Where does Maryanna V Domenic practice?
The practice location is 45 Perry St Unit 2, Chester, NJ 07930-3604. The office can be reached at 908-315-9913 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689306433 directly on the NPPES registry website.