Provider Demographics
NPI:1801296769
Name:MARANO, STEPHANIE (MSN,APN,FNP-BC,CMSRN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MARANO
Suffix:
Gender:
Credentials:MSN,APN,FNP-BC,CMSRN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:MARANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN,RN,CMSRN
Mailing Address - Street 1:301 N ROUTE 73
Mailing Address - Street 2:
Mailing Address - City:WEST BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08091-2508
Mailing Address - Country:US
Mailing Address - Phone:856-557-6023
Mailing Address - Fax:856-767-3620
Practice Address - Street 1:301 N ROUTE 73
Practice Address - Street 2:
Practice Address - City:WEST BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08091-2508
Practice Address - Country:US
Practice Address - Phone:856-557-6023
Practice Address - Fax:856-767-4027
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00542000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily