Individual provider · Type 1 NPI
Shanava Gedeon, LPN
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1740524784
Active
Practice location
2054 Tillotson Ave
Bronx, NY 10475-1560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14687 (CT) |
| Licensed Practical Nurse | 164W00000X | 311730 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740524784
Shanava Gedeon, LPN's National Provider Identifier is 1740524784, issued on Nov 15, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on May 20, 2025.