Life Span Wellness LLC
Nurse Practitioner, Psych/Mental Health in Bloomfield, New Jersey
1356036529- Practice location
- 156 Baldwin Pl, Bloomfield, NJ 07003-6036
- Phone
- 862-220-0914
- Fax
- 862-306-1037
- Last updated
- August 26, 2026
Life Span Wellness LLC is a healthcare organization based in Bloomfield, NJ. Life Span Wellness LLC practices in Bloomfield, NJ. The NPI Number for Life Span Wellness LLC is 1356036529. The current practice location address for Life Span Wellness LLC is 156 Baldwin Pl, Bloomfield, NJ 07003-6036 and can be reached out via phone at 862-220-0914 and via fax at 862-306-1037.
Provider Profile Details
- NPI Number
- 1356036529
- Provider Name
- Life Span Wellness LLC
- Provider Entity Type
- Organization
- Address
- 156 Baldwin Pl, Bloomfield, NJ 07003-6036
- Phone Number
- 862-220-0914
- Fax Number
- 862-306-1037
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Abiodun Akinola Olatubosun · Apn · 862-220-6803
- Provider Enumeration Date
- April 5, 2023
- Last Update Date
- August 26, 2026
- Certification Date
- August 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 156 Baldwin Pl
Bloomfield, NJ 07003-6036 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-6036
- Phone Number
- 862-220-0914
- Fax Number
- 862-306-1037
Provider Business Mailing Address Details
- Address
- 156 Baldwin Pl
Bloomfield, NJ 07003-6036 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-6036
- Phone Number
- 862-220-0914
- Fax Number
- 862-306-1037
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Life Span Wellness LLC?
The NPI number of Life Span Wellness LLC is 1356036529. It was assigned on April 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Life Span Wellness LLC?
Life Span Wellness LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Life Span Wellness LLC practice?
The practice location is 156 Baldwin Pl, Bloomfield, NJ 07003-6036. The office can be reached at 862-220-0914 (phone) or 862-306-1037 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356036529 directly on the NPPES registry website.