Individual provider · Type 1 NPI
Lakisha M. Shivers, NP
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1154903680
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 537-6180
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 30055 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 904795 (MS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F405244 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1154903680
Lakisha M. Shivers, NP's National Provider Identifier is 1154903680, issued on Apr 23, 2021. 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 29, 2024.