NPI Registry.org

Nickecha Redway

NPI Registration Record

Provider / OrganizationNPIDate Certified
NICKECHA REDWAY12752905792021-11-21

Nickecha Redway is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275290579. Registration indicates Nickecha Redway is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider Name Nickecha Redway FNP
Practice Office Address1268 E 38TH ST
BROOKLYN, NY US
Practice Office Telephone7182076544
Mailing Address1268 E 38TH ST
BROOKLYN, NY 112104830 US
Business Telephone7182076544
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
F345891-01
NY
OPI Codes
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