| Healthy Mind Llc | |
|
100 Horizon Center Blvd Ste 100 Hamilton NJ 08691-1910 | |
| (267) 563-8396 | |
| Not Available |
| Full Name | Healthy Mind Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Horizon Center Blvd Ste 100, Hamilton, New Jersey |
| Authorized Official Name and Position | Ursula Odimara (FNP) |
| Authorized Official Contact | 2675638396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind Llc 100 Horizon Center Blvd Ste 100 Hamilton NJ 08691-1910 Ph: () - | Healthy Mind Llc 100 Horizon Center Blvd Ste 100 Hamilton NJ 08691-1910 Ph: (267) 563-8396 |
| NPI Number | 1437800893 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Medicare PECOS PAC ID | 3072906288 |
|---|---|
| Medicare Enrollment ID | O20220211000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437800893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ursula N Odimara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629490222 PECOS PAC ID: 1153553078 Enrollment ID: I20150519001012 |
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