Provider Demographics
NPI:1336559533
Name:NWELE, BLESSING ROSEMARY (APN)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:ROSEMARY
Last Name:NWELE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SUNFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7153
Mailing Address - Country:US
Mailing Address - Phone:201-970-7205
Mailing Address - Fax:
Practice Address - Street 1:20 SUNFLOWER RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-7153
Practice Address - Country:US
Practice Address - Phone:201-970-7205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00491100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00491100OtherAPN LICENSE