| NPI | 1710539614 |
|---|---|
| Former Legal Business Name | NEWU WEIGHTLOSS & WELLNESS CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | KAREN MARINOS Ma/ Office Manager 623-584-8923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-06-26 |