Individual provider · Type 1 NPI
Maryanna Vrettos Domenic
Psychiatric/Mental Health Nurse Practitioner · Chester, NJ
NPI number
1689306433
Active
Practice location
45 Perry St Unit 2
Chester, NJ 07930-3604
Other practice locations
- 475 Wall St, Princeton, NJ 08540-1509 · (908) 803-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NR16641700 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15070600 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Chester
About NPI 1689306433
Maryanna Vrettos Domenic's National Provider Identifier is 1689306433, issued on Jun 29, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chester, NJ. The record was last updated on Oct 17, 2024.