Organization
WELLNESS DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA O WINFUL PMHNP-BC (APN)
(973) 464-7139
Entity
Organization
Contact information
Practice address
1425 POMPTON AVE, CEDAR GROVE, NJ 07009-1043
(973) 464-7139
Mailing address
51 CEDAR AVE, MONTCLAIR, NJ 07042-2446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00654700
NJ
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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