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 | 363LA2200X | Nurse Practitioner | Adult Health | 5794 | CONNECTICUT | No |
| 2 | 163W00000X | Registered Nurse | | 351656 | NEW YORK | No |
| 3 | 163WH0200X | Registered Nurse | Home Health | 351656 | NEW YORK | No |
| 4 | 163WI0500X | Registered Nurse | Infusion Therapy | 351656 | NEW YORK | No |
| 5 | 163WP0200X | Registered Nurse | Pediatrics | 351656 | NEW YORK | No |
| 6 | 163WP2201X | Registered Nurse | Ambulatory Care | 351656 | NEW YORK | No |
| 7 | 363L00000X | Nurse Practitioner | | 5794 | CONNECTICUT | Yes |