Wisdom Community Health LLC
Nurse Practitioner, Psych/Mental Health in Lowell, MA. Organization (NPI-2).
NPI number1003751850
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1003751850
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisdom Community Health LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 20, 2026
- Last updated
- Apr 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
600 Pine StLowell, MA 01851-2309
Phone 978-338-7360 · Fax 978-797-9682
Mailing address
265 Chelmsford St Ste 7Chelmsford, MA 01824-2335
Phone 978-338-7360 · Fax 978-797-9682
Authorized official
Declan Fotoh
Owner
9783387360
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