Individual provider · Type 1 NPI
Itisha Bowen, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1740638196
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 537-6180
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339001-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F402888-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740638196
Itisha Bowen, FNP-C, PMHNP-BC's National Provider Identifier is 1740638196, issued on May 26, 2016. 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 Jan 8, 2025.