Most Relevant Information
Provider Data
| NPI Number: | 1003642836 |
| Provider Name: | ESME MARGUERITE DOUGLAS DNP, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 857544-01 |
Most Important Dates
| Enumeration Date: | 09/09/2024 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
21 WILLETT AVE APT 212
PORT CHESTER
NY
105734355
Practice Location Phone/Fax
| Phone: | 9145527502 |
| Fax: |
Provider Mailing Location
21 WILLETT AVE APT 212
PORT CHESTER
NY
105734355
Provider Mailing Phone/Fax
| Phone: | 9145527502 |
| Fax: |