Provider Demographics
NPI:1548772445
Name:NURTURING LIFE ACUPUNCTURE & WELLNESS PA
Entity Type:Organization
Organization Name:NURTURING LIFE ACUPUNCTURE & WELLNESS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:LAC
Authorized Official - Phone:706-934-5247
Mailing Address - Street 1:600 HUDSON ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5925
Mailing Address - Country:US
Mailing Address - Phone:706-934-5247
Mailing Address - Fax:
Practice Address - Street 1:106 4TH ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4837
Practice Address - Country:US
Practice Address - Phone:201-526-4684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00122000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty