Individual
MARISA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ROSZEL RD STE A103, PRINCETON, NJ 08540-6234
(609) 419-0123
Mailing address
89 FIDDLERS CREEK RD, TITUSVILLE, NJ 08560-1802
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR26389200
NJ
Other
Enumeration date
09/03/2024
Last updated
09/06/2024
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