Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 163WC0200X | Registered Nurse | Critical Care Medicine | 646044-1 | NEW YORK | No |
| 2 | 163WI0500X | Registered Nurse | Infusion Therapy | 26NR14862200 | NEW JERSEY | No |
| 3 | 363L00000X | Nurse Practitioner | | F340409 | NEW YORK | No |
| 4 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 5 | 363L00000X | Nurse Practitioner | | 26NJ00640100 | NEW JERSEY | Yes |