Individual
SHIRIELLE TZIPORAH AVAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
723 N BEERS ST, HOLMDEL, NJ 07733-1517
(908) 601-0359
Mailing address
520 WAKEFIELD RD, NEPTUNE, NJ 07753-4235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ010549000
NJ
Other
Enumeration date
10/27/2020
Last updated
11/15/2023
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