Organization
MARYANNA DOMENIC APN
Active
Other names
Domenic Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNA VRETTOS DOMENIC MSN, APN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(908) 315-9913
Entity
Organization
Contact information
Practice address
45 PERRY ST UNIT 2, CHESTER, NJ 07930-3604
(908) 315-9913
(973) 494-5213
Mailing address
45 PERRY ST UNIT 2, CHESTER, NJ 07930-3604
(908) 315-9913
(973) 494-5213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
09/02/2025
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