Beth A Addis, APN
Nurse Practitioner, Gerontology in Marmora, New Jersey
1952826612- Practice location
- 120 Tuckahoe RD Unit 31, Marmora, NJ 08223-9903
- Phone
- 910-377-9466
- Fax
- —
- Last updated
- July 8, 2026
Beth Anne Addis is a Nurse Practitioner, Gerontology based in Marmora, NJ. Beth Anne Addis practices in Marmora, NJ and has the professional credentials of APN. The NPI Number for Beth Anne Addis is 1952826612 and holds a License No. 26NJ00743700 (NJ). The current practice location address for Beth Anne Addis is 120 Tuckahoe RD Unit 31, Marmora, NJ 08223-9903 and can be reached out via phone at 910-377-9466.
Provider Profile Details
- NPI Number
- 1952826612
- Provider Name
- Beth Anne Addis
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Tuckahoe RD Unit 31, Marmora, NJ 08223-9903
- Phone Number
- 910-377-9466
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Other Names
- Beth Anne Ludlam (Former Name)
- Provider Enumeration Date
- August 3, 2017
- Last Update Date
- July 8, 2026
- Certification Date
- July 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Tuckahoe RD Unit 31
Marmora, NJ 08223-9903 - City
- Marmora
- State
- New Jersey
- Zip
- 08223-9903
- Phone Number
- 910-377-9466
Provider Business Mailing Address Details
- Address
- 120 Tuckahoe RD Unit 31
Marmora, NJ 08223-9903 - City
- Marmora
- State
- NJ
- Zip
- 08223-9903
- Phone Number
- 910-377-9466
License Information
- License Number
- 26NJ00743700
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Beth A Addis, APN?
The NPI number of Beth A Addis, APN is 1952826612. It was assigned on August 3, 2017 and is currently active in the NPPES registry.
What is the specialty of Beth A Addis, APN?
Beth A Addis, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ00743700.
Where does Beth A Addis, APN practice?
The practice location is 120 Tuckahoe RD Unit 31, Marmora, NJ 08223-9903. The office can be reached at 910-377-9466 (phone).
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 1952826612 directly on the NPPES registry website.