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
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None 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.