Organization
ONE STOP WELLNESS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA AYANNA ADDISON (PSYCHIATRIC NURSE PRACTITIONER)
(302) 273-3926
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(302) 273-3926
Mailing address
51 E GARWOOD AVE, WILLIAMSTOWN, NJ 08094-1601
(302) 273-3926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
08/20/2024
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