Individual
MARIA VICTORIA PINILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER-C
Contact information
Practice address
333 MOUNT HOPE AVE, SUITE 150, ROCKAWAY, NJ 07866-1654
(974) 895-6604
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01069400
NJ
Other
Enumeration date
12/20/2020
Last updated
02/28/2022
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