# THE VINE HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1548133036
- **Authorized official:** DR. ABIMBOLA V OLANREWAJU DNP, PMHNP, FNP (PRESIDENT/CEO)
- **Authorized official phone:** (973) 432-9621

## Contact information

- **Practice address:** 2710 VERONA AVE, LINDEN, NJ 07036-5121
- **Practice address phone:** (973) 399-2848
- **Mailing address:** 2710 VERONA AVE, LINDEN, NJ 07036-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 09/29/2025
