Individual provider · Type 1 NPI
Mary Rose Boutros, AGNP
Gerontology Nurse Practitioner · Tinton Falls, NJ
NPI number
1285116822
Active
Practice location
22 Topeka Ct
Tinton Falls, NJ 07712-7508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ00851300 (NJ) |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00851300 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Tinton Falls
About NPI 1285116822
Mary Rose Boutros, AGNP's National Provider Identifier is 1285116822, issued on Aug 30, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tinton Falls, NJ. The record was last updated on Apr 21, 2026.