Individual
MARIELLE NASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
140 FRANKLIN TPKE STE 6A, WALDWICK, NJ 07463-1836
(201) 447-3603
Mailing address
227 VAN SAUN DR, RIVER EDGE, NJ 07661-1715
(201) 832-5365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16248700
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01235500
NJ
Other
Enumeration date
11/10/2021
Last updated
11/29/2021
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