person
Ibrahima Kourouma
Psychiatric/Mental Health Nurse Practitioner in Irvington, New Jersey
NPI 1912677410

Ibrahima Kourouma is a Psychiatric/Mental Health Nurse Practitioner based in Irvington, NJ and is specialized in Psychiatric/Mental Health. Ibrahima Kourouma practices in Irvington, NJ. The NPI Number for Ibrahima Kourouma is 1912677410 and holds a License No. 26NJ01180000 (New Jersey).

The current practice location address for Ibrahima Kourouma is 216 Myrtle Ave Apt 2, Irvington, NJ and can be reached out via phone at 973-943-3768.

Location: 216 Myrtle Ave Apt 2, Irvington, NJ, 07111-6607
person
Provider Profile Details
NPI Number
1912677410
Provider Name
Ibrahima Kourouma
Credential
Provider Entity Type
Individual
Gender
Male
Address
216 Myrtle Ave Apt 2, Irvington, NJ, 07111-6607
Phone Number
973-943-3768
Fax Number
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26NJ01180000 01 NJ NJ
institution
Provider Business Practice Location Address Details
Address
216 Myrtle Ave Apt 2
City
State
Zip
07111-6607
Phone Number
973-943-3768
Fax Number
person
Provider Business Mailing Address Details
Address
216 Myrtle Ave Apt 2
City
State
Zip
07111-6607
Phone Number
973-943-3768
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ01180000 (New Jersey)
Definition
Definition to come...
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