Organization
RESILIENT ROOTS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DONNELLY (CREDENTIALING MANAGER)
(609) 760-3669
Entity
Organization
Contact information
Practice address
2001 ROUTE 46, SUITE 310, PARSIPPANY, NJ 07054-1315
(609) 875-3230
Mailing address
69 SUMMIT DR, TABERNACLE, NJ 08088-9145
(609) 875-3230
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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