Organization · Type 2 NPI
Iconichealth LLC
Psychiatric/Mental Health Nurse Practitioner · Ewing, NJ
NPI number
1972106292
Active
Practice location
1901 N Olden Avenue Ext Ste 11A
Ewing, NJ 08618-2100
Fax (609) 323-7385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Ewing
About NPI 1972106292
Iconichealth LLC's National Provider Identifier is 1972106292, issued on Nov 19, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ewing, NJ. The record was last updated on Jan 28, 2026.