Provider Demographics
NPI:1902650054
Name:BEDSIDE MATTERS, LLC
Entity Type:Organization
Organization Name:BEDSIDE MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC, FNP-BC, MSN, RN
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NELSON-HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:APN-BC
Authorized Official - Phone:609-233-0284
Mailing Address - Street 1:38 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2334
Mailing Address - Country:US
Mailing Address - Phone:609-233-0284
Mailing Address - Fax:
Practice Address - Street 1:410 FARNSWORTH AVE STE 1C
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2078
Practice Address - Country:US
Practice Address - Phone:609-233-0284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty