Individual provider · Type 1 NPI
Kjersten Diane Dosumu, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1508472713
Active
Practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
2098 Frederick Douglass Blvd Apt 8Q
New York, NY 10026-2794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | F309675-1 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | F309675 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | F309675-01 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309675 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508472713
Kjersten Diane Dosumu, NP's National Provider Identifier is 1508472713, issued on Sep 22, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on May 26, 2023.