Alexandra Karin Bevacqua
Nurse Practitioner, Family in Wall Township, NJ. Individual provider (NPI-1).
NPI number1104787639
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1104787639
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alexandra Karin Bevacqua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2025
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ15041900 | NJ | Yes |
Practice location
1959 Rte 34 Ste 202Wall Township, NJ 07719-9790
Phone 732-943-1811
Mailing address
109 Robinson PlShrewsbury, NJ 07702-4437
Phone 732-865-6314
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Other Family Nurse Practitioner providers in Wall Township, NJ
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- Joan Alys Ferrelli, APRN,BCNPI 1114955424
- Angela M Freeman, APNNPI 1245514793
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All 15 Family Nurse Practitioner providers in Wall Township · All 407 providers in Wall Township
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