Individual
MARIAH RESTAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 FEDERAL ST, CAMDEN, NJ 08103-1539
(856) 583-2400
Mailing address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(615) 322-4400
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15550500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
04/06/2026
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