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Individual

MS. BRIANNA DOMENICA BEVILAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, FNP-C

Contact information

Practice address
602 ROUTE 72 E STE 1, MANAHAWKIN, NJ 08050-3538
(609) 926-8899
(609) 891-4031
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(856) 772-1997

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15131500
NJ

Other

Enumeration date
10/07/2024
Last updated
10/29/2025
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