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Organization

MINDSHIELD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN WOODEN NP (OWNER)
(609) 367-3466
Entity
Organization

Contact information

Practice address
200 CONTINENTAL DR STE 401, NEWARK, DE 19713-4337
(609) 367-3466
Mailing address
200 CONTINENTAL DR STE 401, NEWARK, DE 19713-4337

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/03/2022
Last updated
06/03/2022
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