Provider Demographics
NPI:1780568436
Name:EUPHORIA WELLNESS LLC
Entity type:Organization
Organization Name:EUPHORIA WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:732-984-0891
Mailing Address - Street 1:770 LIGHTHOUSE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-2499
Mailing Address - Country:US
Mailing Address - Phone:732-984-0891
Mailing Address - Fax:
Practice Address - Street 1:770 LIGHTHOUSE DR STE 110
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2499
Practice Address - Country:US
Practice Address - Phone:732-984-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty