Individual
REBECCA BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 JEFFERSON AVE, FANWOOD, NJ 07023-1731
(908) 294-1712
Mailing address
12 JEFFERSON AVE, FANWOOD, NJ 07023-1731
(908) 294-1712
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
26NR24293900
NJ
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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