Individual provider · Type 1 NPI
Johan Agudelo, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1851249114
Active
Practice location
5030 Broadway
New York, NY 10034-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 408048 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1851249114
Johan Agudelo, PMHNP-BC's National Provider Identifier is 1851249114, issued on Mar 20, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Mar 20, 2026.