Individual
KEISHA SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(999) 999-9999
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(862) 803-1324
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406686
NY
Other
Enumeration date
01/16/2025
Last updated
04/03/2026
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