person
Johane N/a Desruisseaux, NP
Psychiatric/Mental Health Nurse Practitioner in Fresh Meadows, New York
NPI 1962265132

Johane N/a Desruisseaux is a Psychiatric/Mental Health Nurse Practitioner based in Fresh Meadows, NY and is specialized in Psychiatric/Mental Health. Johane N/a Desruisseaux practices in Fresh Meadows, NY and has the professional credentials of NP. The NPI Number for Johane N/a Desruisseaux is 1962265132 and holds a License No. F405123-01 (New York).

The current practice location address for Johane N/a Desruisseaux is 19304 Horace Harding Expy Apt 1A, Fresh Meadows, NY and can be reached out via phone at 917-528-3783.

Location: 19304 Horace Harding Expy Apt 1A, Fresh Meadows, NY, 11365-2820
person
Provider Profile Details
NPI Number
1962265132
Provider Name
Johane N/a Desruisseaux
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19304 Horace Harding Expy Apt 1A, Fresh Meadows, NY, 11365-2820
Phone Number
917-528-3783
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19304 Horace Harding Expy Apt 1A
City
State
Zip
11365-2820
Phone Number
917-528-3783
Fax Number
person
Provider Business Mailing Address Details
Address
19304 Horace Harding Expy Apt 1A
City
State
Zip
11365-2820
Phone Number
917-528-3783
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.
F405123-01 (New York)
Definition
Definition to come...
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