Individual
MARINA ATESLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
86 AYERS CT APT 3B, TEANECK, NJ 07666-5136
(201) 606-3161
Mailing address
86 AYERS CT APT 3B, TEANECK, NJ 07666-5136
(201) 606-3161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00310700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00310700
NJ
363LA2200X
Adult Health Nurse Practitioner
306648
NY
Other
Enumeration date
07/11/2014
Last updated
03/11/2015
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