Healthcare Provider Details
I. General information
NPI: 1760525661
Provider Name (Legal Business Name): FRANCES MUNET-VILARO PH.D., RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 BERGEN ST SSB 1017
NEWARK NJ
07107-3001
US
IV. Provider business mailing address
65 BERGEN ST SSB 1017
NEWARK NJ
07107-3001
US
V. Phone/Fax
- Phone: 973-972-9589
- Fax:
- Phone: 973-972-9589
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0200X |
| Taxonomy | Pediatric Registered Nurse |
| License Number | 26NR11424200 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: