Individual
MINNA NAVVAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, CNM
Contact information
Practice address
228 PARK AVE S, NEW YORK, NY 10003-1502
(973) 910-0580
(917) 764-4709
Mailing address
200 VARICK ST RM 900, NEW YORK, NY 10014-4893
(212) 620-0340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404740
NY
367A00000X
Advanced Practice Midwife
001855
NY
367A00000X
Advanced Practice Midwife
RN241876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467855486
—
NY
Enumeration date
10/04/2014
Last updated
09/09/2024
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