Individual provider · Type 1 NPI
Vaneesa Fayemiwo
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1023924164
Active
Practice location
419 W 114th St
New York, NY 10025-1710
Mailing address
14371 243rd St
Rosedale, NY 11422-2339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 408938 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023924164
Vaneesa Fayemiwo's National Provider Identifier is 1023924164, issued on Aug 19, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Aug 19, 2026.