Organization
THE VINE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIMBOLA V OLANREWAJU DNP, PMHNP, FNP (PRESIDENT/CEO)
(973) 432-9621
Entity
Organization
Contact information
Practice address
2710 VERONA AVE, LINDEN, NJ 07036-5121
(973) 399-2848
Mailing address
2710 VERONA AVE, LINDEN, NJ 07036-5121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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