Individual provider · Type 1 NPI

Rosa Heredia, NURSE PRACTITIONER

Primary Care Nurse Practitioner · Bronx, NY

NPI number 1699196303 Active

Practice location

234 East 149th Street, Medicine Department 8th Floor
Bronx, NY 10451

Mailing address

776 Mace Ave Apt E5
Bronx, NY 10467-9131

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X338421 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1699196303

Rosa Heredia, NURSE PRACTITIONER's National Provider Identifier is 1699196303, issued on Dec 23, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronx, NY. The record was last updated on Dec 23, 2013.