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Kellie M. O. Takashima, NP
Nurse Practitioner in New York, New York
NPI 1568544401

Kellie M. O. Takashima is a Nurse Practitioner based in San Francisco, NY. Kellie M. O. Takashima practices in New York, NY and has the professional credentials of NP. The NPI Number for Kellie M. O. Takashima is 1568544401 and holds a License No. AP7772 (New York).

The current practice location address for Kellie M. O. Takashima is 30 Broad St Fl 45, New York, NY and can be reached out via phone at 212-530-0630.

Location: 30 Broad St Fl 45, New York, NY, 94111-3723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568544401
Provider Name
Kellie M. O. Takashima
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
30 Broad St Fl 45, New York, NY, 94111-3723
Phone Number
212-530-0630
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000220004 01 HI HMSA BILLING NUMBER
55037802 05 HI
institution
Provider Business Practice Location Address Details
Address
30 Broad St Fl 45
City
New York
State
New York
Zip
10004-2942
Phone Number
212-530-0630
Fax Number
person
Provider Business Mailing Address Details
Address
30 Broad St Fl 45
City
New York
State
New York
Zip
10004-2942
Phone Number
212-530-0630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP60755079 (Washington)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP7772 (Arizona)
Definition
Definition to come...
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