Healthcare Provider Details

I. General information

NPI: 1992092142
Provider Name (Legal Business Name): KRISTIN A. LE BEAU APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN A. STROBEL APN

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W WHITE HORSE PIKE SUITE 100
BERLIN NJ
08009-2032
US

IV. Provider business mailing address

402 LIPPINCOTT DR
MARLTON NJ
08053-4112
US

V. Phone/Fax

Practice location:
  • Phone: 856-767-3234
  • Fax: 856-767-3518
Mailing address:
  • Phone: 856-782-3300
  • Fax: 856-504-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00338500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NR11417700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: