Individual provider · Type 1 NPI

Samantha Marie D'averso, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Long Branch, NJ

NPI number 1891592291 Active

Practice location

75 N Bath Ave
Long Branch, NJ 07740-6317

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	26NJ15271000 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1891592291

Samantha Marie D'averso, MSN, RN, PMHNP-BC's National Provider Identifier is 1891592291, issued on Feb 25, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Long Branch, NJ. The record was last updated on Feb 25, 2025.