Extraordinary Minds
Extraordinary Minds is a Psychiatric/Mental Health Nurse Practitioner in Evesham, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
532 Old Marlton Pike W Ste 510Evesham, NJ 08053
Phone: (856) 242-2121
Fax: (856) 242-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1538856398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Wallace — Credentialing · (470) 446-5360 |
| NPI enumerated | April 21, 2023 |
| Last updated in NPPES | April 21, 2023 |
| Certification date | April 14, 2023 |
| Mailing address | 15 Roberts Way Se, Acworth, GA 30102-6873 |
Other providers in Evesham
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Mrs. Dana Christine Sullivan, APN
750 NJ-73 Ste 210 Willow Ridge Executive Ofc Oark, Evesham, NJ 08053 · (856) 399-1010