Doctor Name: | MARIANNE HOMSEY |
NPI Number: | 1265515241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N.C |
License Number: | 26NN05930100 |
Business Practice Address: | 505 Ramapo Valley Rd Mahwah, NJ - 074301623 |
Business Phone Number: | 2016847536 |
Business Fax Number: | 2016847534 |
Mailing Address: | 505 Ramapo Valley Rd, MAHWAH |
State: | NJ |
Postal Code: | 074301623 |
Phone Number: | 2016847536 |
Fax Number: | 2016847534 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN05930100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |