Individual provider · Type 1 NPI
Pamela Komaniecki, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Dekalb, IL
NPI number
1093427718
Active
Practice location
12 Health Services Dr
Dekalb, IL 60115-9637
Fax (815) 756-2944
Mailing address
PO Box 1109
Dekalb, IL 60115-7109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 049.1467133 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.030218 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Dekalb
About NPI 1093427718
Pamela Komaniecki, APRN, PMHNP-BC's National Provider Identifier is 1093427718, issued on Dec 14, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dekalb, IL. The record was last updated on Sep 13, 2024.