Individual provider · Type 1 NPI

Keitha Gayle Reckord, MSN, APRN, FNP-BC

Family Nurse Practitioner · Bronx, NY

NPI number 1225757859 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

1 Pin Oak Ln
Ansonia, CT 06401-2731

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X349591 (NY)
Family Nurse Practitioner Primary 363LF0000X349591 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1225757859

Keitha Gayle Reckord, MSN, APRN, FNP-BC's National Provider Identifier is 1225757859, issued on Aug 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 26, 2022.