Vasudevan, Mayilathal

Vasudevan, Mayilathal is an sole proprietor health care provider with primary practice located at 3140 Princeton Pike Fl 2 , Lawrenceville NJ 08648-2330. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vasudevan, Mayilathal can be contacted via phone (609) 895-1919.

Contact Information

Primary practice address
3140 Princeton Pike Fl 2 Lawrenceville NJ 08648-2330
Fax: (609) 895-2900
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X 26NRI4696700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01240200 New Jersey

Profile Details

NPI number 1720607260
LBN Legal business name Vasudevan, Mayilathal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2020
Last updated Jun 22nd, 2022 - about 2 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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