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Organization
ONE STOP WELLNESS MD LLC
Active
Organization
ONE STOP WELLNESS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA AYANNA ADDISON (PSYCHIATRIC NURSE PRACTITIONER)
(302) 273-3926
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(302) 273-3926
Mailing address
51 E GARWOOD AVE, WILLIAMSTOWN, NJ 08094-1601
(302) 273-3926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
08/20/2024
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