Organization
WELL PATH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE T PALMER MSN, APN (SOLE PROPRIETER)
(856) 432-6257
Entity
Organization
Contact information
Practice address
110 SYLVAN AVE, GLOUCESTER CITY, NJ 08030-1634
(856) 432-6257
(856) 432-1526
Mailing address
110 SYLVAN AVE, GLOUCESTER CITY, NJ 08030-1634
(856) 432-6257
(856) 432-1526
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NJ00012600
NJ
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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