Individual provider · Type 1 NPI
Miranda Groebler, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Malone, NY
NPI number
1336521236
Active
Practice location
31 6th St
Malone, NY 12953-1246
Fax (518) 483-3383
Mailing address
4 Commerce Ln
Canton, NY 13617-3739
Other practice locations
- 4 Commerce Ln, Canton, NY 13617-3739 · (315) 386-1156
- 125 Finney Blvd, Malone, NY 12953-1067 · (518) 481-8160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401866 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336521236
Miranda Groebler, PMHNP's National Provider Identifier is 1336521236, issued on Jun 26, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Malone, NY. The record was last updated on May 4, 2026.