OrganizationActive
Abundance Wellness Center LLC
NPI 1417633553 · Psychiatric/Mental Health Nurse Practitioner · Springfield Gardens, NY
Provider details
- NPI number
- 1417633553
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Hazel Phillip, Licensed Clinical Social Worker(551) 275-5674
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13732 Thurston St
Springfield Gardens, NY 11413-2637
Phone: (551) 275-5674
Approximate (ZIP-level) locationGet directions
Mailing address
13732 Thurston St
Springfield Gardens, NY 11413-2637
Registry dates
- Enumerated
- 2023-06-23
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.