DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARC VANILLO

Active

MARC VANILLO is a Gerontological Nurse Practitioner healthcare provider located in SOMERVILLE, New Jersey. NPI 1770286668 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · SOMERVILLE, NJ

Registration Details

NPI Number
1770286668
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2023 (3.3545659609791 yrs)
Last Updated
Jun 24, 2024
Licenses
11024787 (FL)
26NJ01461700 (NJ)

Practice Information

Address
110 REHILL AVE
SOMERVILLE, NJ, 088762519
Browse NJ providers · Browse ZIP 08876
Phone
9086852200
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in SOMERVILLE, NJ

Name Credential NPI
RUBAMA JAHANGIR APN 1275145732
SEAN PATRICK RILEY NP 1619567997
TOWANDA MICHEL BENTLEY NURSE PRACTITIONER 1720752223
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.