Individual
MS. MARIA LISA PIANTANIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
23 WHITE ST SIDE ENTRANCE, SHREWSBURY, NJ 07702-4477
(732) 444-8802
Mailing address
27 LAUREL ST, WEST LONG BRANCH, NJ 07764-1418
(732) 859-4462
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01358000
NJ
Other
Enumeration date
08/24/2022
Last updated
03/07/2023
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