Healthcare Provider Details

I. General information

NPI: 1811534506
Provider Name (Legal Business Name): AUDRA HOVER APRN, FNP-C, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. AUDRA ROSE HOVER

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 NEWTON SPARTA RD STE 1
NEWTON NJ
07860-2764
US

IV. Provider business mailing address

5 SPYGLASS HL UNIT 2
VERNON NJ
07462-2564
US

V. Phone/Fax

Practice location:
  • Phone: 973-383-2244
  • Fax: 973-383-0448
Mailing address:
  • Phone: 973-362-6304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number257168
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00932400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: