Individual provider · Type 1 NPI

Ketty Acasia Davila, RN- PMHNP STUDENT

Student in an Organized Health Care Education/Training Program · West New York, NJ

NPI number 1790606242 Active

Practice location

415 60th St
West New York, NJ 07093-2211

Mailing address

415 60th St Fl 2
West New York, NJ 07093-2211

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1194539023 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1790606242

Ketty Acasia Davila, RN- PMHNP STUDENT's National Provider Identifier is 1790606242, issued on Jul 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West New York, NJ. The record was last updated on Jul 22, 2026.