# PROACTIVE HEALTH & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TelewellnessND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518735836
- **Authorized official:** DR. NANCY FRIED (MEDICAL DIRECTOR)
- **Authorized official phone:** (609) 732-0101

## Contact information

- **Practice address:** 714 W WHITE HORSE PIKE, EGG HARBOR CITY, NJ 08215-3838
- **Practice address phone:** (609) 732-0101
- **Mailing address:** 714 W WHITE HORSE PIKE, EGG HARBOR CITY, NJ 08215-3838
- **Mailing address phone:** (609) 732-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 12/15/2023