RENEE LICORISH

BROOKLYN, NY
NPI1437618097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405792)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP140787)
Enumeration Date2019-03-13
Last Update Date2024-12-31
Business Address
Mrs. RENEE LICORISH DNP, APRN, PMHNP-BC
343 4TH AVE
BROOKLYN, NY 11215-2719
Phone number: 929-470-9881
Mailing Address
Mrs. RENEE LICORISH DNP, APRN, PMHNP-BC
17460 I-35N SUITE 430-419
SCHERTZ, TX 78154
Phone number: 832-623-8131