Individual provider · Type 1 NPI

Mary Teresa Desane, APN-BC

Adult Psychiatric/Mental Health Registered Nurse · Lakewood, NJ

NPI number 1497058275 Active

Practice location

725 Airport Rd
Lakewood, NJ 08701-5968

Fax (732) 363-5537

Mailing address

4 Upton Pl
Ocean, NJ 07712-3708

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X26NJ00299700 (NJ)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1497058275

Mary Teresa Desane, APN-BC's National Provider Identifier is 1497058275, issued on Dec 16, 2010. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Lakewood, NJ. The record was last updated on Oct 27, 2011.