Organization
VIVANCHI RADIANT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN NWANKWO (OWNER/ APN)
(732) 474-6655
Entity
Organization
Contact information
Practice address
1733 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2963
(732) 474-6655
(732) 873-2733
Mailing address
9 RIEDER CT, SOMERSET, NJ 08873-2816
(732) 474-6655
(732) 873-2733
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
11/18/2024
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