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LIFE SPAN WELLNESS LLC
NPI 1356036529
Nurse Practitioner - Psychiatric/Mental Health in Bloomfield, NJ

Active since April 05, 2023
156 BALDWIN PL, BLOOMFIELD, NJ 07003(551) 275-5674 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Span Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SPAN WELLNESS LLC (NPI 1356036529) is a healthcare organization registered as a psychiatric/mental health in Bloomfield, New Jersey and active in the NPI registry since April 2023. The organization lists Abiodun Olatubosun, Nurse Practitioner, Psych, as its authorized official.

NPPES Registry Identity

NPI1356036529
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFE SPAN WELLNESS LLC
Location Address156 BALDWIN PLBloomfield, NJ 07003-6036
Mailing Address156 Baldwin PlBloomfield, NJ 07003-6036 · (551) 275-5674
Phone(551) 275-5674
Organization SubpartNo
Authorized OfficialAbiodun OlatubosunNurse Practitioner, Psych · (551) 275-5674
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1356036529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
156 BALDWIN PL, Bloomfield, NJ 07003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Span Wellness LLC's NPI number?

The NPI number for Life Span Wellness LLC is 1356036529. It was assigned to this organization in the NPPES registry on April 5, 2023.

Where is Life Span Wellness LLC located?

Life Span Wellness LLC is located at 156 Baldwin Pl, Bloomfield, NJ 07003. The listed phone number is (551) 275-5674.

What is Life Span Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Life Span Wellness LLC was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.