Healthcare Provider Details

I. General information

NPI: 1700484961
Provider Name (Legal Business Name): NEW BEGINNINGS HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2020
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 N 7TH ST STE 102
STROUDSBURG PA
18360-2266
US

IV. Provider business mailing address

24 N 7TH ST STE 102
STROUDSBURG PA
18360-2266
US

V. Phone/Fax

Practice location:
  • Phone: 484-640-5400
  • Fax:
Mailing address:
  • Phone: 484-640-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. AKIA BLANDON
Title or Position: OWNER
Credential: NP
Phone: 201-925-6300