Healthcare Provider Details

I. General information

NPI: 1801717491
Provider Name (Legal Business Name): MAURA AUKAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BAYVIEW DR
BRICK NJ
08723-7463
US

IV. Provider business mailing address

33 BAYVIEW DR
BRICK NJ
08723-7463
US

V. Phone/Fax

Practice location:
  • Phone: 609-284-7365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberTBD
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: