Individual provider · Type 1 NPI
Tijuana Temple, FNP
Family Nurse Practitioner · Coram, NY
NPI number
1881369486
Active
Practice location
65 Pennaquid Rd
Coram, NY 11727-1227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 348067 (NY) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Coram
About NPI 1881369486
Tijuana Temple, FNP's National Provider Identifier is 1881369486, issued on Aug 16, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coram, NY. The record was last updated on Aug 16, 2021.