Individual provider · Type 1 NPI

Alexandra Karin Bevacqua

Family Nurse Practitioner · Wall Township, NJ

NPI number 1104787639 Active

Practice location

1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790

Call (732) 943-1811 Map

Mailing address

109 Robinson Pl
Shrewsbury, NJ 07702-4437

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15041900 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1104787639

Alexandra Karin Bevacqua's National Provider Identifier is 1104787639, issued on Nov 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wall Township, NJ. The record was last updated on Nov 24, 2025.