Individual
MRS. MARYGRACE PERSICO FERRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
765 TEANECK RD, TEANECK, NJ 07666-4248
(201) 833-8180
Mailing address
420 LONGVIEW CT, NORTHVALE, NJ 07647-1322
(201) 768-2659
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
NC70975
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7965605
—
NJ
Enumeration date
11/15/2006
Last updated
07/09/2010
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