OrganizationActive
Well Path, LLC.
NPI 1841565801 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Gloucester City, NJ
Provider details
- NPI number
- 1841565801
- Entity type
- Organization
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Diane Palmer, Sole Proprieter(856) 432-6257
- License
- 26NJ00012600 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
110 Sylvan Ave
Gloucester City, NJ 08030-1634
Phone: (856) 432-6257
Fax: (856) 432-1526
Approximate (ZIP-level) locationGet directions
Mailing address
110 Sylvan Ave
Gloucester City, NJ 08030-1634
Registry dates
- Enumerated
- 2012-03-09
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.