Provider Demographics
NPI:1366752933
Name:BEYERS, MARIA LEAH GUDIA (RN, APN)
Entity type:Individual
Prefix:MRS
First Name:MARIA LEAH
Middle Name:GUDIA
Last Name:BEYERS
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:MISS
Other - First Name:MARIA LEAH
Other - Middle Name:QUIAO
Other - Last Name:GUDIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:555 WILLOW OAK DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1672
Mailing Address - Country:US
Mailing Address - Phone:609-909-1433
Mailing Address - Fax:
Practice Address - Street 1:W JIMMIE LEEDS ROAD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240
Practice Address - Country:US
Practice Address - Phone:609-652-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10732800163W00000X
NJ26NJ00302400367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse