Individual
KESHA SIMONE BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4284
(212) 979-4000
Mailing address
820 COLGATE AVE APT 4J, BRONX, NY 10473-4826
(646) 696-5924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311021
NY
363LG0600X
Gerontology Nurse Practitioner
311021
NY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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