Individual
MERA MARIE KEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2 DEAN DR, TENAFLY, NJ 07670-2765
(201) 568-8288
(201) 568-8288
Mailing address
190 MERRITT AVE, BERGENFIELD, NJ 07621-1415
(586) 265-3895
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR17245700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR2023000861
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR17245700
RN
NJ
01
—
NUR2023000861
NP LICENSE
NJ
Enumeration date
01/24/2023
Last updated
01/07/2026
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