Individual
MS. BEVERLY BAHAMONDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861
(732) 376-9333
Mailing address
PO BOX 1220, ATTN: CREDENTIALING/HR, PERTH AMBOY, NJ 08862-1220
(732) 376-9333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11281100
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00562900
NJ
Other
Enumeration date
04/24/2015
Last updated
05/30/2018
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