# MOMENTOM WELLNESS LLC

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

## Provider details

- **NPI number:** 1871163261
- **Authorized official:** DIANE OFRIA MS, RN, FPMHNP-BC (OWNER/SOLE MEMBER)
- **Authorized official phone:** (508) 237-5886

## Contact information

- **Practice address:** 1336 MAIN ST, OSTERVILLE, MA 02655-1542
- **Practice address phone:** (508) 237-5886
- **Mailing address:** 955 MAIN ST, OSTERVILLE, MA 02655-2031
- **Mailing address phone:** (508) 237-5886

## 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:** 06/28/2021
- **Last updated:** 12/27/2021