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MIND BODY NOURISH LLC
NPI 1740090026
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since January 09, 2025
2625 W GIRARD AVE, PHILADELPHIA, PA 19130(305) 930-2967 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Body Nourish Llc NPPES

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

MIND BODY NOURISH LLC (NPI 1740090026) is a healthcare organization registered as an adult health in Philadelphia, Pennsylvania and active in the NPI registry since January 2025. The organization lists Anisa Ortiz, Owner, as its authorized official.

NPPES Registry Identity

NPI1740090026
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMIND BODY NOURISH LLC
Location Address2625 W GIRARD AVEPhiladelphia, PA 19130-1333
Mailing Address2901 Meredith PlBensalem, PA 19020-2258 · (267) 455-9230
Phone(305) 930-2967
Organization SubpartNo
Authorized OfficialAnisa OrtizOwner · (305) 930-2967
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1740090026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
2625 W GIRARD AVE, Philadelphia, PA 19130
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE A KIMZEY D.O.
Internal Medicine
2625 W GIRARD AVE
PHILA, PA 19130
Philadelphia County (215) 724-0517
GIRARD INTERNAL MEDICINE LLC
Clinic/Center (Primary Care)
2625 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 724-0517
TIFFANY WASHINGTON APN
Nurse Practitioner (Psychiatric/Mental Health)
2625 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 821-7412
MISS ANISA J ORTIZ NP
Nurse Practitioner (Gerontology)
2625 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (267) 455-9230

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 Mind Body Nourish LLC's NPI number?

The NPI number for Mind Body Nourish LLC is 1740090026. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is Mind Body Nourish LLC located?

Mind Body Nourish LLC is located at 2625 W Girard Ave, Philadelphia, PA 19130. The listed phone number is (305) 930-2967.

What is Mind Body Nourish LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mind Body Nourish LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.