Marc Vanillo
Marc Vanillo is a Nurse Practitioner in Somerville, New Jersey. Qualified in 2022, 4 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group and accepts Medicare assignment. Licensed in Florida and New Jersey.
- Years since qualifying
- 4
- Licensed in
- FL, NJ
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
110 Rehill AveSomerville, NJ 08876-2519
Phone: (908) 685-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 26NJ01461700 (NJ) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 11024787 (FL) |
Record details
| NPI number | 1770286668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 24, 2024 |
| Mailing address | 6400 Sw 20th Ave Apt 108, Gainesville, FL 32607-3525 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Rwjbh Observation Associates Llc — 971 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |