Individual provider · Type 1 NPI
Intisar Ibrahim, DNP, FNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Paterson, NJ
NPI number
1912335191
Active
Practice location
318 21st Ave Ste 103
Paterson, NJ 07501-3538
Fax (334) 373-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00467900 (NJ) |
| Family Nurse Practitioner | 363LF0000X | 26NJ00467900 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912335191
Intisar Ibrahim, DNP, FNP, PMHNP-BC's National Provider Identifier is 1912335191, issued on Oct 24, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Paterson, NJ. The record was last updated on Nov 10, 2023.