Provider Demographics
NPI:1346296282
Name:TEJEIRO, BEATRIZ CARMEN (RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:CARMEN
Last Name:TEJEIRO
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21 BULLENS AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2532
Mailing Address - Country:US
Mailing Address - Phone:973-389-1022
Mailing Address - Fax:973-389-1913
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:WFAN 3RD F;LOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:201-996-5454
Practice Address - Fax:201-928-4018
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN07988400363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics