| Maryanna Vrettos Domenic, | |
|
45 Perry St Unit 2, Chester, NJ 07930-3604 | |
| (908) 315-9913 | |
| Not Available |
| Full Name | Maryanna Vrettos Domenic |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 45 Perry St Unit 2, Chester, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689306433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR16641700 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ15070600 (New Jersey) | Primary |
| Entity Name | Maryanna Domenic Apn |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891524237 PECOS PAC ID: 6103347646 Enrollment ID: O20250312003339 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryanna Vrettos Domenic, 45 Perry St Unit 2, Chester, NJ 07930-3604 Ph: (908) 315-9913 | Maryanna Vrettos Domenic, 45 Perry St Unit 2, Chester, NJ 07930-3604 Ph: (908) 315-9913 |
Mrs. Phygenia Y Nimoh, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Rt 206 North, Chester, NJ 07930 Phone: 908-879-6818 | |
Ms. Bonita Sue Pyler, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787 | |
Mrs. Nicole Marie Douglas, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Route 24 Ste E, Chester, NJ 07930 Phone: 908-879-1500 | |
Phyllis Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787 | |
Jadrian Danelle Rawlings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 908-879-6818 | |
Ms. Babiche Michele Slack, RN, MS, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 612-859-7101 | |
Jaclyn Shoemaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-216-3854 |