Individual provider · Type 1 NPI

Mijung Shin

Family Nurse Practitioner · Bronx, NY

NPI number 1306377254 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453

Call (718) 299-7295 Map

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Other practice locations

  • 7613 113th St Apt 1F, Forest Hills, NY 11375-6597 · (718) 261-1300
  • 7613 113th St Apt 1F, Forest Hills, NY 11375-6597 · (718) 261-1300

Specialties and licenses

TaxonomyCodeLicense
Family Health Clinical Nurse Specialist 364SF0001XF341131 (NY)
Family Nurse Practitioner Primary 363LF0000XF341131 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1306377254

Mijung Shin's National Provider Identifier is 1306377254, issued on Mar 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Nov 1, 2018.