Organization · Type 2 NPI
Revitalizing Remedies LLC
Psychiatric/Mental Health Nurse Practitioner · Andover, NJ
NPI number
1497411938
Active
Practice location
52 Newton Sparta Rd Ste 1
Andover, NJ 07860-2723
Fax (201) 727-3241
Mailing address
52 Newton Sparta Rd
Newton, NJ 07860-2723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Registered Nurse | 163W00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Phlebotomy Technician | 246RP1900X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1497411938
Revitalizing Remedies LLC's National Provider Identifier is 1497411938, issued on Nov 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Andover, NJ. The record was last updated on Nov 9, 2021.