Organization
LIFECYCLES HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA MONIQUE BRONZELL-WYNDER DNP,CRNP,NP-C,ANP-BC (CEO)
(856) 288-9115
Entity
Organization
Contact information
Practice address
433 N 7TH ST, FIRST FLOOR, CAMDEN, NJ 08102-2212
(856) 288-9115
(856) 379-4286
Mailing address
433 N 7TH ST, FIRST FLOOR, CAMDEN, NJ 08102-2212
(856) 288-9115
(856) 379-4286
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
SP008348
PA
363LC1500X
Community Health Nurse Practitioner
SP013200
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00600900
NJ
Other
Enumeration date
01/09/2016
Last updated
10/02/2023
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