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Mrs. Sandra Denise Thebaud-young, APRN-BC
Adult Health Nurse Practitioner in New Brunswick, New Jersey
NPI 1114043064

Sandra Denise Thebaud-young is an Adult Health Nurse Practitioner based in Irvington, NJ and is specialized in Adult Health. Sandra Denise Thebaud-young practices in New Brunswick, NJ and has the professional credentials of APRN-BC. The NPI Number for Sandra Denise Thebaud-young is 1114043064 and holds a License No. 26NJ00129300 (New Jersey).

The current practice location address for Sandra Denise Thebaud-young is 254 Easton Avenue, New Brunswick, NJ and can be reached out via phone at 908-392-1948 and via fax at 973-337-2045. You can also correspond with Sandra Denise Thebaud-young through the mailing address at 239 40TH ST, IRVINGTON, NJ - 07111-1100 (mailing address contact number: 973-371-5563).

Location: 254 Easton Avenue, New Brunswick, NJ, 07111-1100
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Provider Profile Details
NPI Number
1114043064
Provider Name
Sandra Denise Thebaud-young
Credential
APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
254 Easton Avenue, New Brunswick, NJ, 07111-1100
Phone Number
908-392-1948
Fax Number
973-337-2045
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0147320 05 NJ
112818VGD 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
254 Easton Avenue
City
State
Zip
08901
Phone Number
908-392-1948
Fax Number
973-337-2045
person
Provider Business Mailing Address Details
Address
239 40Th St
City
State
Zip
07111-1100
Phone Number
973-371-5563
Fax Number
973-337-2045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
26NJ00129300 (New Jersey)
Definition
Definition to come...
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