# NEW LIFE HEALTH AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1851607329
- **Authorized official:** MS. JOANNE WEBB-WILLIAMS APN-C (ADVANCE PRACTICE NURSE)
- **Authorized official phone:** (973) 429-4850

## Contact information

- **Practice address:** 12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
- **Practice address phone:** (973) 429-4850
- **Practice address fax:** (973) 429-4811
- **Mailing address:** 12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
- **Mailing address phone:** (973) 429-4850
- **Mailing address fax:** (973) 429-4811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NN05973400 | NJ | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 26NN06957700 | NJ | — |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 01/26/2011