Individual
NATHANIEL EHIABHI IKHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
11635 NEWBURGH ST, SAINT ALBANS, NY 11412-3030
(347) 586-2004
Mailing address
5 RYAN AVE, NORWALK, CT 06854-4609
(347) 586-2004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406977
NY
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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