Lifecycles Health Services Inc
NPI 1730545567ActiveOrganization· Nurse Practitioner, Family· Camden, NJ
Nurse Practitioner, Family in Camden, New Jersey, registered in NPPES in January 2016. The authorized official on file is Tanya Monique Bronzell-Wynder, DNP,CRNP,NP-C,ANP-BC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730545567 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2016 |
| Last updated in NPPES | Oct 2, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 26NJ00600900 | NJ |
| Clinic/Center | 261Q00000X | SP008348 | PA |
| Nurse Practitioner, Community Health | 363LC1500X | SP013200 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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