Minischetti, Maryanne

Minischetti, Maryanne is an individual health care provider with primary practice located at 270 Davidson Ave , Somerset NJ 08873-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Minischetti, Maryanne can be contacted via phone (732) 328-2639.

Contact Information

Primary practice address
270 Davidson Ave Somerset NJ 08873-4140
Phone: (732) 328-2639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NC07289800 New Jersey

Profile Details

NPI number 1689752016
LBN Legal business name Minischetti, Maryanne
Credentials RN APNC PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689752016 NPPES
New Jersey Other 527486 AGENCY PTAN #
New Jersey MEDICAID 0023701 AGENCY PTAN #

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