Organization · Type 2 NPI
Radiance Psychiatric Services LLC
Psychiatric/Mental Health Nurse Practitioner · Newark, NJ
NPI number
1700678901
Active
Practice location
566-568 S 18th St Fl 1
Newark, NJ 07103-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700678901
Radiance Psychiatric Services LLC's National Provider Identifier is 1700678901, issued on May 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, NJ. The record was last updated on May 21, 2025.