Individual provider · Type 1 NPI
Paulette Phanord, REGISTERED NURSE
Psychiatric/Mental Health Registered Nurse · Bronx, NY
NPI number
1396007761
Active
Practice location
2054 Tillotson Ave
Bronx, NY 10475-1560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 298359 (NY) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 731278-01 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1396007761
Paulette Phanord, REGISTERED NURSE's National Provider Identifier is 1396007761, issued on Jun 12, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bronx, NY. The record was last updated on Dec 11, 2023.