Individual provider · Type 1 NPI
Venkateswararao Damisetti
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1154903383
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
1371 Seabury Ave
Bronx, NY 10461-3651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F310234 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1154903383
Venkateswararao Damisetti's National Provider Identifier is 1154903383, issued on Apr 27, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Mar 9, 2022.