Organization · Type 2 NPI
Great Water Land Services Nurse Practitioner In Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Massapequa, NY
NPI number
1386463040
Active
Practice location
166 Euclid Ave
Massapequa, NY 11758-4207
Fax (956) 253-4627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1386463040
Great Water Land Services Nurse Practitioner In Psychiatry PLLC's National Provider Identifier is 1386463040, issued on Oct 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Massapequa, NY. The record was last updated on Oct 8, 2024.