MEDICARE: EUNICE H VASSER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15520600	NJ

General Provider Information

NPI Number	:	1194676148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNICE H VASSER

Provider Business Mailing Address
First Line	:	12 DAVIS RD
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1602
Country	:	US
Telephone Number	:	781-266-6384
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 DAVIS RD
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1602
Country	:	US
Telephone Number	:	781-266-6384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ EUNICE H VASSER ” Practice Location

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