Individual
VINESSA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
920 CO OP CITY BLVD APT 14D, BRONX, NY 10475-1634
(347) 697-3037
Mailing address
920 CO OP CITY BLVD APT 14D, BRONX, NY 10475-1634
(347) 697-3037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
726066
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
726066
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
726066
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402910
NY
Other
Enumeration date
04/24/2020
Last updated
04/07/2021
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