=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033080825
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THUJA HEALTH AND WELLNESS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2025
-----------------------------------------------------
Last Update Date | 10/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 227 CHELMSFORD ST LOWR LEVEL
-----------------------------------------------------
City | CHELMSFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01824-2305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-488-7406
-----------------------------------------------------
Fax | 781-758-5377
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 227 CHELMSFORD ST LOWR LEVEL
-----------------------------------------------------
City | CHELMSFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01824-2305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | RAYMOND MWANJE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 781-488-7406
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------