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NPI Code Detail

MEDICARE: AUDREY E RASIUL APN

MEDICARE: AUDREY E RASIUL APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ01134300NJ
2163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse26NO10663000NJ

General Provider Information

NPI Number : 1447877139
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY E RASIUL APN
Provider Business Mailing Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-671-8756
Fax Number : 609-809-1996
Provider Business Practice Location Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-671-8756
Fax Number : 609-809-1996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2020
Last Update Date : 03/06/2026

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Directions to “ AUDREY E RASIUL APN” Practice Location

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