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PERPETUAL NWOLISA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
99 MORRIS AVE STE 102, SPRINGFIELD, NJ 07081-1421
(973) 393-5864
Mailing address
99 MORRIS AVE STE 102, SPRINGFIELD, NJ 07081-1421

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15540200
NJ

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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