Organization · Type 2 NPI
Catherine Poulos Psychiatric Nurse Practitioner PLLC
Psychiatric/Mental Health Nurse Practitioner · Southampton, NY
NPI number
1457790198
Active
Practice location
349 Meeting House Ln
Southampton, NY 11968-5051
Fax (631) 822-2833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F401489-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1457790198
Catherine Poulos Psychiatric Nurse Practitioner PLLC's National Provider Identifier is 1457790198, issued on Jun 16, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southampton, NY. The record was last updated on Jun 16, 2013.