Individual provider · Type 1 NPI

Katherine Rosangela Quezada

Adult Health Nurse Practitioner · Port Jefferson, NY

NPI number 1952940942 Active

Practice location

625 Belle Terre Rd
Port Jefferson, NY 11777-2316

Mailing address

10 Biscayne Dr
Selden, NY 11784-1011

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X309278 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1952940942

Katherine Rosangela Quezada's National Provider Identifier is 1952940942, issued on Dec 23, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson, NY. The record was last updated on Dec 23, 2019.