Individual provider · Type 1 NPI

Sandra Denise Thebaud-Young, APRN-BC

Adult Health Nurse Practitioner · New Brunswick, NJ

NPI number 1114043064 Active

Practice location

254 Easton Avenue, New Brunswick
New Brunswick, NJ 08901

Fax (973) 337-2045

Mailing address

239 40th St, Irvington
Irvington, NJ 07111-1100

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ00129300 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114043064

Sandra Denise Thebaud-Young, APRN-BC's National Provider Identifier is 1114043064, issued on Mar 22, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Brunswick, NJ. The record was last updated on Oct 26, 2009.