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NPI Code Detail

MEDICARE: VANESSA ANELIS MARTE RN

MEDICARE:   VANESSA ANELIS MARTE  RN
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
1363LF0000XFamily Nurse Practitioner355888NY
2163WP0200XPediatric Registered Nurse738082NY

General Provider Information

NPI Number : 1891474490
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANELIS MARTE RN
Provider Business Mailing Address
First Line : 1042 E 223RD ST APT 1
Second Line :
City : BRONX
State : NY
Zip : 10466-4814
Country : US
Telephone Number : 347-290-2846
Fax Number :
Provider Business Practice Location Address
First Line : 3415 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-2403
Country : US
Telephone Number : 718-741-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 04/27/2025

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