Audra Bursae
Individual provider Active NPI Health & Wellness Coach · Cresskill, NJ
NPI 1902652886 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1902652886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 92 Union Ave
Cresskill, NJ 07626-2128 - Phone
- (201) 500-8470
- NPI assigned
- Apr 30, 2024
- Reactivated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NY | Yes |
Addresses
Primary practice location
92 Union Ave
Cresskill, NJ 07626-2128
Mailing address
92 Union Ave
Cresskill, NJ 07626-2128
Phone (201) 500-8470
Other providers in Cresskill, NJ
- Laurie Braunstein
- Ellen J Breger
- Laura Ennis Brenner
- Allison Brown
- Patricia S. Brown
- Ofer Burshtain
- Allison Butigian
- Cafe RX LLC
- Yvonne Callas
- Thomas Campione
All providers in Cresskill, NJ · Health & Wellness Coach in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.