Individual
LAURA B NYABETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5530
(240) 449-6824
Mailing address
2622 WILDBERRY CT, EDISON, NJ 08817-2757
(240) 449-6824
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15026200
NJ
Other
Enumeration date
03/14/2024
Last updated
04/17/2025
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