Organization · Type 2 NPI

Destiny Medical Practice LLC

Adult Health Nurse Practitioner · Westampton, NJ

NPI number 1669071775 Active

Practice location

10 Amara Ln
Westampton, NJ 08060-5753

Call (914) 204-3348 Map

Mailing address

PO Box 544
Rancocas, NJ 08073-0544

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	None listed

Adult Health Nurse Practitioner: Definition to come...

Another provider at this address

Vida-Lynn Asiamah-Asare, APNPsychiatric/Mental Health Nurse Practitioner Westampton, NJ NPI 1649525510

NPI record

NPI: 1669071775
Entity type: Organization (Type 2)
Issued: Oct 20, 2020
Last updated: Nov 24, 2020
Status: Active

Other names

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Destiny Medical Practice LLC · doing business as
Destiny Medical Practice LLC · doing business as

Authorized official

Vida-Lynn Asiamah- Asare, APN
Owner
(917) 204-3333

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669071775

Destiny Medical Practice LLC's National Provider Identifier is 1669071775, issued on Oct 20, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Westampton, NJ. The record was last updated on Nov 24, 2020.