Individual
MARYNA PRODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1395 CLINTON AVE, IRVINGTON, NJ 07111-1412
(973) 399-1002
(973) 375-4837
Mailing address
1395 CLINTON AVE, IRVINGTON, NJ 07111-1412
(973) 399-1002
(973) 375-4837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00592200
NJ
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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