Life Span Wellness LLC
NPI #1356036529 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1356036529
- Entity Type
- Organization
- Organization Name
- Life Span Wellness LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 5, 2023
- Last Updated
- Apr 5, 2023
Practice Location
- Address
- 156 BALDWIN PL
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-6036
- Phone
- (551) 275-5674
Authorized Official
- Name
- ABIODUN OLATUBOSUN, NP
- Title
- NURSE PRACTITIONER, PSYCH
- Phone
- (551) 275-5674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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