Individual
DEANNA MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1340 ROUTE 34, ABERDEEN, NJ 07747-1947
(732) 444-4859
Mailing address
12 KYLE DR, TINTON FALLS, NJ 07712-7536
(732) 320-5505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15115900
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ15115900
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15115900
NJ
Other
Enumeration date
08/21/2024
Last updated
11/14/2024
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