Glow Bar A Beauty And Wellness Medspa LLC
Nurse Practitioner, Gerontology in Mount Holly, New Jersey
1619876703- Practice location
- 516 High St Ste 11, Mount Holly, NJ 08060-1026
- Phone
- 856-880-8485
- Fax
- —
- Last updated
- November 4, 2026
Glow Bar A Beauty And Wellness Medspa LLC is a healthcare organization based in Mount Holly, NJ. Glow Bar A Beauty And Wellness Medspa LLC practices in Mount Holly, NJ. The NPI Number for Glow Bar A Beauty And Wellness Medspa LLC is 1619876703. The current practice location address for Glow Bar A Beauty And Wellness Medspa LLC is 516 High St Ste 11, Mount Holly, NJ 08060-1026 and can be reached out via phone at 856-880-8485.
Provider Profile Details
- NPI Number
- 1619876703
- Provider Name
- Glow Bar A Beauty And Wellness Medspa LLC
- Provider Entity Type
- Organization
- Address
- 516 High St Ste 11, Mount Holly, NJ 08060-1026
- Phone Number
- 856-880-8485
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Organization Subpart
- No
- Authorized Official
- Masimba Mutema · Owner, NP · 856-880-8485
- Provider Enumeration Date
- November 4, 2026
- Last Update Date
- November 4, 2026
- Certification Date
- November 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 516 High St Ste 11
Mount Holly, NJ 08060-1026 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-1026
- Phone Number
- 856-880-8485
Provider Business Mailing Address Details
- Address
- 605 Wharton RD
Mount Laurel, NJ 08054-5265 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-5265
License Information
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · 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 Glow Bar A Beauty And Wellness Medspa LLC?
The NPI number of Glow Bar A Beauty And Wellness Medspa LLC is 1619876703. It was assigned on November 4, 2026 and is currently active in the NPPES registry.
What is the specialty of Glow Bar A Beauty And Wellness Medspa LLC?
Glow Bar A Beauty And Wellness Medspa LLC is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X).
Where does Glow Bar A Beauty And Wellness Medspa LLC practice?
The practice location is 516 High St Ste 11, Mount Holly, NJ 08060-1026. The office can be reached at 856-880-8485 (phone).
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 1619876703 directly on the NPPES registry website.