Individual provider · Type 1 NPI
Idalia Viard
Psychiatric/Mental Health Nurse Practitioner · Far Rockaway, NY
NPI number
1053883074
Active
Practice location
610 Grassmere Ter
Far Rockaway, NY 11691-2535
Mailing address
1400 Woodloch Forest Dr
The Woodlands, TX 77380-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 761298 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1017344 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1053883074
Idalia Viard's National Provider Identifier is 1053883074, issued on Jan 2, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Far Rockaway, NY. The record was last updated on Apr 26, 2024.