Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1770453961 |
| LBN Legal business name | A NEW YOU BODY AND MIND WELLNESS |
| Authorized official | SHANNON PEREIRA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/11/2025 |
| Last updated | 11/11/2025 - About 7 months ago |
| Identifiers | n/a |
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