Individual provider · Type 1 NPI
Jennifer Lazaros, RN, NP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1699159038
Active
Practice location
115 Broadway Ste 1800
New York, NY 10006-1652
Fax (512) 229-0865
Mailing address
39 West 14th Street, Suite 506
New York, NY 10011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 673578-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402087 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F402087-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699159038
Jennifer Lazaros, RN, NP's National Provider Identifier is 1699159038, issued on Jul 15, 2015. 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 Dec 6, 2019.