MEDICARE: EVERYDAY WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1639957939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERYDAY WELLNESS

Provider Business Mailing Address
First Line	:	61 W PLEASANT AVE
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1334
Country	:	US
Telephone Number	:	201-367-9477
Fax Number	:	201-367-2355

Provider Business Practice Location Address
First Line	:	61 W PLEASANT AVE
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1334
Country	:	US
Telephone Number	:	201-367-9477
Fax Number	:	201-367-2355

Authorized Official
Title or Position	:	CEO
Name	:	MS. JISANN LYNCH
Credential	:	PA-C
Telephone Number	:	201-367-9477

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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Directions to “EVERYDAY WELLNESS ” Practice Location

Language	Start Address	Practice Location

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