Individual provider · Type 1 NPI
Ibrahima Kourouma
Psychiatric/Mental Health Nurse Practitioner · Irvington, NJ
NPI number
1912677410
Active
Practice location
216 Myrtle Ave Apt 2
Irvington, NJ 07111-6607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01180000 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912677410
Ibrahima Kourouma's National Provider Identifier is 1912677410, issued on Sep 15, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Irvington, NJ. The record was last updated on Sep 15, 2021.