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

Mind Body Nourish LLC

Organization Adult Health Nurse Practitioner · NPI 1740090026

Mind Body Nourish LLC is an Adult Health Nurse Practitioner in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
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

2625 W Girard Ave
Philadelphia, PA 19130-1333
Phone: (305) 930-2967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1740090026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisa Ortiz — Owner · (305) 930-2967
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address2901 Meredith Pl, Bensalem, PA 19020-2258

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