Individual provider · Type 1 NPI
Linda Kovac-Tantalo, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Farmington, NY
NPI number
1013144534
Active
Practice location
1386 Hathaway Dr
Farmington, NY 14425-8973
Mailing address
707 Hawks Nest Cir
Rochester, NY 14626-4894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401203 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Farmington
About NPI 1013144534
Linda Kovac-Tantalo, NURSE PRACTITIONER's National Provider Identifier is 1013144534, issued on Jun 11, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Farmington, NY. The record was last updated on May 18, 2022.