Individual
MARIA VILLETTE GANANCIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2750
(973) 731-9442
(973) 731-2918
Mailing address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2750
(973) 731-9442
(973) 731-2918
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00653300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00653300
NJ
Other
Enumeration date
07/14/2016
Last updated
04/12/2024
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