Organization · Type 2 NPI
Functional Medicine Centers
Psychiatric/Mental Health Nurse Practitioner · Hackensack, NJ
NPI number
1487185401
Active
Practice location
481 Hackensack Ave, Suite 2A
Hackensack, NJ 07601-6330
Fax (201) 342-4346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00080100 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1487185401
Functional Medicine Centers's National Provider Identifier is 1487185401, issued on Mar 22, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hackensack, NJ. The record was last updated on Mar 22, 2017.