NPI 1669034336 · live from the CMS NPI Registry
Jonathan Breen
Registered Nurse, Psych/Mental Health, Adult in Media, PA. National Provider Identifier 1669034336, active.
NPI record
| NPI | 1669034336 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 207 Northbrook Dr, Media, PA 19063 |
| Practice phone | 404-748-2729 |
| Enumerated | July 2, 2019 |
| Last updated | July 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 685064 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.