Organization
PREMIERE WELLNESS CARE
Active
Other names
IV Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FRIED DNP (MANAGING MEMBER)
(609) 732-0101
Entity
Organization
Contact information
Practice address
714 W WHITE HORSE PIKE STE B, EGG HARBOR CITY, NJ 08215-3838
(609) 732-0101
Mailing address
714 W WHITE HORSE PIKE STE C, EGG HARBOR CITY, NJ 08215-3838
(609) 732-0101
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
175F00000X
Naturopath
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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