Individual
MRS. SAMANTHA MARIE D'AVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-6500
Mailing address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-6500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15271000
NJ
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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