Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Span Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1356036529

Life Span Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Bloomfield, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

156 Baldwin Pl
Bloomfield, NJ 07003-6036
Phone: (551) 275-5674
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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 number1356036529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abiodun Olatubosun — Nurse Practitioner, Psych · (551) 275-5674
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address156 Baldwin Pl, Bloomfield, NJ 07003-6036

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