Provider Demographics
NPI:1881134161
Name:VALERIE MAGRINO, PSYCHIATRIC NURSE PRACTITIONER, LLC
Entity type:Organization
Organization Name:VALERIE MAGRINO, PSYCHIATRIC NURSE PRACTITIONER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-444-8802
Mailing Address - Street 1:621 SHREWSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4153
Mailing Address - Country:US
Mailing Address - Phone:732-444-8802
Mailing Address - Fax:732-741-5599
Practice Address - Street 1:621 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4153
Practice Address - Country:US
Practice Address - Phone:732-444-8802
Practice Address - Fax:732-741-5599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALERIE MAGRINO, PSYCHIATRIC NURSE PRACTITIONER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00658700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty