Provider Demographics
NPI:1174496517
Name:ALDEN WEST WELLNESS
Entity type:Organization
Organization Name:ALDEN WEST WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NEFERTITI
Authorized Official - Middle Name:RASHIDAH
Authorized Official - Last Name:ISOKE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, LCSW
Authorized Official - Phone:610-612-6546
Mailing Address - Street 1:2943 OLD WELSH RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3835
Mailing Address - Country:US
Mailing Address - Phone:484-775-0553
Mailing Address - Fax:
Practice Address - Street 1:2943 OLD WELSH RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-3835
Practice Address - Country:US
Practice Address - Phone:484-775-0553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty