Individual provider · Type 1 NPI
Kimberly Meserole, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Ridgewood, NJ
NPI number
1104792548
Active
Practice location
216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849
Fax (551) 212-3041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15425100 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1104792548
Kimberly Meserole, PMHNP-BC's National Provider Identifier is 1104792548, issued on Oct 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ridgewood, NJ. The record was last updated on Jan 26, 2026.