Individual provider · Type 1 NPI
Kim Kroeger-Bushell, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Cortlandt Manor, NY
NPI number
1104191097
Active
Practice location
7 Croton Avenue
Cortlandt Manor, NY 10567
Fax (315) 326-4290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 474578-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402471 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104191097
Kim Kroeger-Bushell, PMHNP's National Provider Identifier is 1104191097, issued on Mar 12, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cortlandt Manor, NY. The record was last updated on Aug 15, 2018.