Individual provider · Type 1 NPI

Keziah Bain

Family Nurse Practitioner · Bronx, NY

NPI number 1760309959 Active

Practice location

1894 Walton Ave
Bronx, NY 10453-6018

Mailing address

405 Pacific Trce
Ellenwood, GA 30294-4526

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XN37113-01 (NY)
Family Nurse Practitioner Primary 363LF0000X360755 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1760309959

Keziah Bain's National Provider Identifier is 1760309959, issued on Jun 30, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Aug 26, 2026.