Provider Demographics
NPI:1366839599
Name:MANIAR, RESHMA PARESH (MSN, RN, AGACNP-BC,)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:PARESH
Last Name:MANIAR
Suffix:
Gender:F
Credentials:MSN, RN, AGACNP-BC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BRITTANY RD
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9549
Mailing Address - Country:US
Mailing Address - Phone:201-921-4281
Mailing Address - Fax:
Practice Address - Street 1:19 BRITTANY RD
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9549
Practice Address - Country:US
Practice Address - Phone:201-921-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-26
Last Update Date:2015-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00563300363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care