Organization
LUISA VEGA DNP NP IN PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA VEGA DNP (OWNER)
(813) 690-5121
Entity
Organization
Contact information
Practice address
2973 PERRY AVE, BRONX, NY 10458-2103
(813) 690-5121
Mailing address
PO BOX 575, RIVERVIEW, FL 33568-0575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06734463
—
NY
Enumeration date
06/04/2022
Last updated
01/27/2023
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