Individual provider · Type 1 NPI
Anthonia Ajimavo, NP
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1114309283
Active
Practice location
2604 3rd Ave
Bronx, NY 10454-1199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307288-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F405705 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114309283
Anthonia Ajimavo, NP's National Provider Identifier is 1114309283, issued on Jun 24, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on Aug 16, 2024.