Organization
EMPOWER WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN GEORGE APN (APN)
(973) 878-9090
Entity
Organization
Contact information
Practice address
111 S ORANGE AVE STE 38, SOUTH ORANGE, NJ 07079-1912
(973) 878-9090
Mailing address
111 S ORANGE AVE STE 38, SOUTH ORANGE, NJ 07079-1912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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