Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00597700 | NJ |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2320598 | MA |
NPI | 1003288960 |
---|---|
Provider Name | Valeria Dworkowitz |
First Address | Morristown, NJ 07963-9165 |
Second Address | Bedford, MA 01730-1078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2015 |
Last Update Date | 26/10/2021 |