Beryl Sowah, APN
Individual provider Active NPI Adult Health Nurse Practitioner · Keyport, NJ
NPI 1992065338 · NPPES record last updated May 19, 2012
Key facts
- NPI
- 1992065338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00378100 (NJ)
- Practice address
- 243 Raritan St
Keyport, NJ 07735-5138 - Phone
- (732) 441-3881
- NPI assigned
- May 19, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00378100 | NJ | Yes |
Addresses
Primary practice location
243 Raritan St
Keyport, NJ 07735-5138
Mailing address
243 Raritan St
Keyport, NJ 07735-5138
Phone (732) 441-3881
Other providers in Keyport, NJ
- Maureen Frances Rubin
- Karen R. Rutt
- Dina Marie Schwartz
- Marisa Anne Silva
- Ma Elena C Soriano
- Specs for Less Inc
- Sterling Healthcare Services
- Amanda Marie Straley
- Lucille Martha Sullivan
- Synergy Medical Laboratories Inc
All providers in Keyport, NJ · Adult Health Nurse Practitioner 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 May 19, 2012. 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.