Provider Demographics
NPI:1326013400
Name:BEARDSLEY, ASUNTA ANN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:ASUNTA
Middle Name:ANN
Last Name:BEARDSLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:132 W DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-1641
Mailing Address - Country:US
Mailing Address - Phone:973-361-7122
Mailing Address - Fax:973-361-7122
Practice Address - Street 1:151 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3026
Practice Address - Country:US
Practice Address - Phone:973-622-3900
Practice Address - Fax:973-622-1698
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26ME00039601367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife