Individual
XIAOLU LI-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 W 21ST ST, NEW YORK, NY 10010-6805
(917) 716-4910
(888) 396-3996
Mailing address
19 W 21ST ST, NEW YORK, NY 10010-6805
(917) 242-4616
(888) 396-3996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
755492-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405189
NY
Other
Enumeration date
04/25/2023
Last updated
12/04/2023
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