LIFE SPAN WELLNESS LLC is a psychiatric/mental health nurse practitioner in Bloomfield, NJ. LIFE SPAN WELLNESS LLC NPI is 1356036529. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
156 BALDWIN PL
BLOOMFIELD, NJ
ZIP 07003-036
Phone: (551) 275-5674
The provider's authorized official is Abiodun Olatubosun .
The authorized official title is Nurse Practitioner, Psych and has the following contact phone number (551) 275-5674.
The enumeration date for this NPI number is 4/5/2023 and was last updated on 4/5/2023.