Blue Lilies Medical Spa
Clinical Nurse Specialist, Adult Health in Nutley, New Jersey
1669379038- Practice location
- 414 Centre St Ste 1AND2, Nutley, NJ 07110-1712
- Phone
- 908-836-7413
- Fax
- —
- Last updated
- October 20, 2026
Blue Lilies Medical Spa is a healthcare organization based in Nutley, NJ. Blue Lilies Medical Spa practices in Nutley, NJ. The NPI Number for Blue Lilies Medical Spa is 1669379038. The current practice location address for Blue Lilies Medical Spa is 414 Centre St Ste 1AND2, Nutley, NJ 07110-1712 and can be reached out via phone at 908-836-7413.
Provider Profile Details
- NPI Number
- 1669379038
- Provider Name
- Blue Lilies Medical Spa
- Provider Entity Type
- Organization
- Address
- 414 Centre St Ste 1AND2, Nutley, NJ 07110-1712
- Phone Number
- 908-836-7413
- Primary Taxonomy
- Clinical Nurse Specialist, Adult Health · 364SA2200X
- Organization Subpart
- No
- Authorized Official
- Kate A Okusanya, ANP-BC · Co Owner · 908-304-5313
- Other Names
- Blue Lilies Med Spa (Other Name)
- Provider Enumeration Date
- October 20, 2026
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 414 Centre St Ste 1AND2
Nutley, NJ 07110-1712 - City
- Nutley
- State
- New Jersey
- Zip
- 07110-1712
- Phone Number
- 908-836-7413
Provider Business Mailing Address Details
- Address
- 414 Centre St Ste 1AND2
Nutley, NJ 07110-1712 - City
- Nutley
- State
- NJ
- Zip
- 07110-1712
- Phone Number
- 908-836-7413
License Information
- Taxonomy
- Clinical Nurse Specialist, Adult Health · 364SA2200X · 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 Blue Lilies Medical Spa?
The NPI number of Blue Lilies Medical Spa is 1669379038. It was assigned on October 20, 2026 and is currently active in the NPPES registry.
What is the specialty of Blue Lilies Medical Spa?
Blue Lilies Medical Spa is registered under the primary taxonomy Clinical Nurse Specialist, Adult Health (code 364SA2200X).
Where does Blue Lilies Medical Spa practice?
The practice location is 414 Centre St Ste 1AND2, Nutley, NJ 07110-1712. The office can be reached at 908-836-7413 (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 1669379038 directly on the NPPES registry website.