Individual provider · Type 1 NPI
Tenzin Kyizom, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1417617952
Active
Practice location
1 Park Ave
New York, NY 10016-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 708336 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404283 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417617952
Tenzin Kyizom, NURSE PRACTITIONER's National Provider Identifier is 1417617952, issued on Dec 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jul 25, 2022.