Individual provider · Type 1 NPI
Alexa Kisselbach
Pediatric Nurse Practitioner · New York, NY
NPI number
1538782818
Active
Practice location
525 E 68th St
New York, NY 10065-4870
Mailing address
532 Lorimer St Apt 3B
Brooklyn, NY 11211-5991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 702516 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383176 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1538782818
Alexa Kisselbach's National Provider Identifier is 1538782818, issued on May 21, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Oct 2, 2023.