Individual provider · Type 1 NPI

Alyshaa Marie Agbulos Perez, FNP

Family Nurse Practitioner · Brooklyn, NY

NPI number 1831811124 Active

Practice location

156 Henry St
Brooklyn, NY 11201-2504

Mailing address

5620 De Longpre Ave Apt 715
Los Angeles, CA 90028-8747

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X350369 (NY)
Family Nurse Practitioner 363LF0000X95026066 (CA)
Family Nurse Practitioner 363LF0000X209025907 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1831811124

Alyshaa Marie Agbulos Perez, FNP's National Provider Identifier is 1831811124, issued on Sep 14, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 5, 2025.