Individual provider · Type 1 NPI
Katherine Elizabeth Lidestri
Nurse Practitioner · New York, NY
Practice location
1000 10th Ave
New York, NY 10019-1147
Mailing address
1 Bernadette Way
Washingtonville, NY 10992-1754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 345899 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1891318457
Katherine Elizabeth Lidestri's National Provider Identifier is 1891318457, issued on May 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on May 18, 2020.