Well Path, LLC.

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

26NJ00012600 Issued in NJ

Legal business name

WELL PATH, LLC.

Practice address

110 Sylvan Ave
Gloucester City, NJ 08030-1634

Phone

(856) 432-6257

Fax

(856) 432-1526

NPI assigned

Mar 9, 2012

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Diane T Palmer, MSN, APN

Title

Sole Proprieter

Phone

(856) 432-6257

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1841565801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SYLVAN AVE",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301634",
            "telephone_number": "856-432-6257",
            "fax_number": "856-432-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SYLVAN AVE",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301634",
            "telephone_number": "856-432-6257",
            "fax_number": "856-432-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL PATH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "856-432-6257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, APN"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NJ00012600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Gloucester City, NJ
• Providers in Gloucester City, NJ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.