Provider Demographics
NPI:1811676307
Name:PATEL, AVANI (BSN)
Entity type:Individual
Prefix:MRS
First Name:AVANI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SASHA CT
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6856
Mailing Address - Country:US
Mailing Address - Phone:908-510-8190
Mailing Address - Fax:
Practice Address - Street 1:145 ROUTE 34
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2187
Practice Address - Country:US
Practice Address - Phone:732-242-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach