Individual
NATISHA E BEAUBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 677-1590
Mailing address
220 LINCOLN BLVD UNIT 415, MIDDLESEX, NJ 08846-1174
(609) 610-2005
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15365700
NJ
Other
Enumeration date
02/14/2025
Last updated
08/04/2025
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