Organization · Type 2 NPI

Abundant Life 180

Psychiatric/Mental Health Nurse Practitioner · Orient, OH

NPI number 1003790031 Active

Practice location

12271 Center Dr
Orient, OH 43146-9120

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1003790031

Abundant Life 180's National Provider Identifier is 1003790031, issued on Aug 4, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orient, OH. The record was last updated on Aug 8, 2025.