Individual provider · Type 1 NPI

Teresa Omwenga

Psychiatric/Mental Health Nurse Practitioner · Wayne, NJ

NPI number 1578286688 Active

Practice location

401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139

Fax (973) 790-0671

Mailing address

8 Gifford Ct Apt 2
Maplewood, NJ 07040-3001

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ01370900 (NJ)

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

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About NPI 1578286688

Teresa Omwenga's National Provider Identifier is 1578286688, issued on Sep 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wayne, NJ. The record was last updated on Oct 21, 2022.