Organization
NU'YU RADIENSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYANA CARREA APN (NURSE PRACTITIONER)
(856) 373-5370
Entity
Organization
Contact information
Practice address
285 S CHURCH ST STE 5, MOORESTOWN, NJ 08057-2773
(856) 724-1900
(856) 494-1314
Mailing address
285 S CHURCH ST STE 5, MOORESTOWN, NJ 08057-2773
(856) 724-1900
(856) 494-1314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457773640
—
NJ
Enumeration date
06/25/2021
Last updated
06/25/2021
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