Individual
TANYA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KIEL AVE # 244, KINNELON, NJ 07405-2572
(732) 762-0971
Mailing address
2 KIEL AVE # 244, KINNELON, NJ 07405-2572
(732) 762-0971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14734600
NJ
163W00000X
Registered Nurse
Primary
736972-01
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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