Active NPIIndividual provider

Mrs. Sandra D Thebaud-Young, APRN-BC

Nurse Practitioner, Adult Health in New Brunswick, New Jersey

NPI Number1114043064
Practice location
254 Easton Avenue, New Brunswick, New Brunswick, NJ 08901
Fax
973-337-2045
Last updated
October 26, 2009

Sandra Denise Thebaud-Young is a Nurse Practitioner, Adult Health based in New Brunswick, NJ. 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 (NJ). The current practice location address for Sandra Denise Thebaud-Young is 254 Easton Avenue, New Brunswick, New Brunswick, NJ 08901 and can be reached out via phone at 908-392-1948 and via fax at 973-337-2045.

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, New Brunswick, NJ 08901
Phone Number
908-392-1948
Fax Number
973-337-2045
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2007
Last Update Date
October 26, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
254 Easton Avenue
New Brunswick
New Brunswick, NJ 08901
Zip
08901
Phone Number
908-392-1948
Fax Number
973-337-2045
New Brunswick, NJ 08901Get directions →

Provider Business Mailing Address Details

Address
239 40TH St
Irvington
Irvington, NJ 07111-1100
City
Irvington
State
NJ
Zip
07111-1100
Phone Number
973-371-5563
Fax Number
973-337-2045

License Information

License Number
26NJ00129300
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sandra D Thebaud-Young, APRN-BC?

The NPI number of Mrs. Sandra D Thebaud-Young, APRN-BC is 1114043064. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sandra D Thebaud-Young, APRN-BC?

Mrs. Sandra D Thebaud-Young, APRN-BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00129300.

Where does Mrs. Sandra D Thebaud-Young, APRN-BC practice?

The practice location is 254 Easton Avenue, New Brunswick, New Brunswick, NJ 08901. The office can be reached at 908-392-1948 (phone) or 973-337-2045 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114043064 directly on the NPPES registry website.

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