Organization
ELITA WONG, PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELITA WONG PMHNP-BC (OWNER, PSYCHIATRIC NP)
(206) 531-7844
Entity
Organization
Contact information
Practice address
223 BEDFORD AVE NO. 888, BROOKLYN, NY 11211
(206) 531-7844
(503) 386-3252
Mailing address
223 BEDFORD AVE NO. 888, BROOKLYN, NY 11211
(206) 531-7844
(503) 386-3252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202008233NP-PP
OREGON STATE BOARD OF NURSING
OR
01
—
AP61085917
WASHINGTON STATE BOARD OF NURSING
WA
Enumeration date
05/21/2021
Last updated
05/21/2021
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