Healthcare Provider Details
I. General information
NPI: 1750789764
Provider Name (Legal Business Name): CHARMAINE ARENAS FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/08/2014
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 RYAN RD
MARLBORO NJ
07746-2445
US
IV. Provider business mailing address
4 RYAN RD
MARLBORO NJ
07746-2445
US
V. Phone/Fax
- Phone: 732-431-8700
- Fax:
- Phone: 732-431-8700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 26NJ00536800 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 26NJ00536800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: