# VIVANCHI RADIANT HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265251938
- **Authorized official:** VIVIAN NWANKWO (OWNER/ APN)
- **Authorized official phone:** (732) 474-6655

## Contact information

- **Practice address:** 1733 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2963
- **Practice address phone:** (732) 474-6655
- **Practice address fax:** (732) 873-2733
- **Mailing address:** 9 RIEDER CT, SOMERSET, NJ 08873-2816
- **Mailing address phone:** (732) 474-6655
- **Mailing address fax:** (732) 873-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2024
- **Last updated:** 11/18/2024