PROACTIVE HEALTH & WELLNESS NPI 1861134132

NPI Information

  • NPI: 1861134132
  • Provider Name: PROACTIVE HEALTH & WELLNESS
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 714 W WHITE HORSE PIKE
    EGG HARBOR CITY, NJ
    ZIP 08215
  • Phone: (609) 732-0101

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NPI Details

PROACTIVE HEALTH & WELLNESS is a primary care nurse practitioner in Egg Harbor City, NJ. PROACTIVE HEALTH & WELLNESS NPI is 1861134132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

714 W WHITE HORSE PIKE
EGG HARBOR CITY, NJ
ZIP 08215-838
Phone: (609) 732-0101

The provider's authorized official is Nancy J Fried .
The authorized official title is Nurse Practitioner and has the following contact phone number (609) 732-0101.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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