Individual provider · Type 1 NPI
Sandra Boateng-Wilson
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1255585295
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453
Fax (718) 294-6797
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 592824 (NY) |
| Family Nurse Practitioner | 363LF0000X | 338663 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F404138 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255585295
Sandra Boateng-Wilson's National Provider Identifier is 1255585295, issued on Nov 4, 2008. 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 Apr 18, 2024.