Individual
AUDREY LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2385 SPRINGFIELD AVE, VAUXHALL, NJ 07088-1046
(908) 687-4736
Mailing address
2385 SPRINGFIELD AVE, VAUXHALL, NJ 07088-1046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00733200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9213867
FL NP LICENSE
FL
01
—
P00787900
CDS
NJ
01
—
RN9213867
FL RN LICENSE
FL
Enumeration date
07/06/2017
Last updated
12/03/2018
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