Individual provider · Type 1 NPI
Laurie B. Teal, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Shushan, NY
NPI number
1114447166
Active
Practice location
725 Juniper Swamp Rd
Shushan, NY 12873-2910
Fax (518) 338-0174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 101-0131597 (VT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1114447166
Laurie B. Teal, PMHNP's National Provider Identifier is 1114447166, issued on Jun 21, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shushan, NY. The record was last updated on Mar 10, 2022.