Individual
BETH ANNE ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
120 TUCKAHOE RD UNIT 31, MARMORA, NJ 08223-9903
(910) 377-9466
Mailing address
120 TUCKAHOE RD UNIT 31, MARMORA, NJ 08223-9903
(910) 377-9466
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00743700
NJ
Other
Enumeration date
08/03/2017
Last updated
07/08/2026
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