Organization · Type 2 NPI

Blue Lilies Medical Spa

Adult Health Clinical Nurse Specialist · Nutley, NJ

NPI number 1669379038 Active

Practice location

414 Centre St Ste 1AND2
Nutley, NJ 07110-1712

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist Primary 364SA2200XNone listed

Adult Health Clinical Nurse Specialist: Definition to come...

About NPI 1669379038

Blue Lilies Medical Spa's National Provider Identifier is 1669379038, issued on Oct 20, 2026. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Nutley, NJ. The record was last updated on Oct 20, 2026.