Balwalli-Udyawer, Shruti

Balwalli-Udyawer, Shruti is an sole proprietor health care provider with primary practice located at 149 Main St , South River NJ 08882-1232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Balwalli-Udyawer, Shruti can be contacted via phone (732) 238-6440.

Contact Information

Primary practice address
149 Main St South River NJ 08882-1232
Phone: (732) 238-6440
Fax: (732) 651-1232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00769400 New Jersey

Profile Details

NPI number 1689182867
LBN Legal business name Balwalli-Udyawer, Shruti
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2018
Last updated Feb 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689182867 NPPES
New Jersey Other 26NJ00769400 LICENSE

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