Nursepractitionerco
Nurse Practitioner, Family in Edison, NJ. Organization (NPI-2).
NPI number1124867098
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1124867098
- Entity type
- Organization (NPI-2)
- Legal business name
- Nursepractitionerco
- Organization subpart
- No
- Enumeration date
- May 21, 2024
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- Wellnessexpress (Doing Business As)
Practice location
21 Back DrEdison, NJ 08817-3020
Phone 347-528-2025
Mailing address
21 Back DrEdison, NJ 08817-3020
Phone 347-528-2025
Authorized official
Sarah Rosenstock
Owner
3475282025
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