Individual provider · Type 1 NPI
Kiyasha Latonya Spencer, NP
Obstetrics & Gynecology Nurse Practitioner · Bronx, NY
NPI number
1710573126
Active
Practice location
234 E 149th St
Bronx, NY 10451-5589
Mailing address
6111 Fillmore Pl Apt 407
West New York, NJ 07093-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | F339902-1 (NY) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1710573126
Kiyasha Latonya Spencer, NP's National Provider Identifier is 1710573126, issued on Dec 19, 2020. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Bronx, NY. The record was last updated on Dec 19, 2020.