Individual provider · Type 1 NPI

Arelys Itwaru, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Port Jefferson Station, NY

NPI number 1053729376 Active

Practice location

4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579

Call (631) 331-2424 Map

Mailing address

1527 Pine Acres Blvd
Bay Shore, NY 11706-2427

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X746026 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF407163-01 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053729376

Arelys Itwaru, PMHNP-BC's National Provider Identifier is 1053729376, issued on Jul 30, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 13, 2026.