Individual
MONICA LOURENCO BEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112
(800) 843-2384
Mailing address
186 WAYNE ST APT 324D, JERSEY CITY, NJ 07302-5441
(908) 447-3440
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR13191500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00848000
NJ
367500000X
Certified Registered Nurse Anesthetist
RN737216
PA
Other
Enumeration date
05/29/2018
Last updated
07/31/2023
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