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Organization
FORTIFY BODY & MIND WELLNESS
Active
Organization
FORTIFY BODY & MIND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL AMOAH CRNP (CEO)
(484) 620-5677
Entity
Organization
Contact information
Practice address
30 PRESTBURY SQ STE 303, NEWARK, DE 19713-3235
(866) 688-6414
Mailing address
15 BAY BLVD, NEWARK, DE 19702-4835
(866) 688-6414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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