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Life Span Wellness Llc
Psychiatric/Mental Health Nurse Practitioner in Bloomfield, New Jersey
NPI 1356036529

Life Span Wellness Llc is a Psychiatric/Mental Health Nurse Practitioner based in Bloomfield, NJ and is specialized in Psychiatric/Mental Health. Life Span Wellness Llc practices in Bloomfield, NJ. The NPI Number for Life Span Wellness Llc is 1356036529 and holds a License No. (New Jersey).

The current practice location address for Life Span Wellness Llc is 156 Baldwin Pl, Bloomfield, NJ and can be reached out via phone at 551-275-5674.

Location: 156 Baldwin Pl, Bloomfield, NJ, 07003-6036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356036529
Provider Name
Life Span Wellness Llc
Credential
Provider Entity Type
Organization
Address
156 Baldwin Pl, Bloomfield, NJ, 07003-6036
Phone Number
551-275-5674
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
156 Baldwin Pl
City
Bloomfield
State
New Jersey
Zip
07003-6036
Phone Number
551-275-5674
Fax Number
person
Provider Business Mailing Address Details
Address
156 Baldwin Pl
City
Bloomfield
State
New Jersey
Zip
07003-6036
Phone Number
551-275-5674
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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