Provider Demographics
NPI:1265515241
Name:HOMSEY, MARIANNE (APNC)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:HOMSEY
Suffix:
Gender:F
Credentials:APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 RAMAPO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1623
Mailing Address - Country:US
Mailing Address - Phone:201-684-7536
Mailing Address - Fax:201-684-7534
Practice Address - Street 1:505 RAMAPO VALLEY RD
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-1623
Practice Address - Country:US
Practice Address - Phone:201-684-7536
Practice Address - Fax:201-684-7534
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05930100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily