Individual provider · Type 1 NPI
Maureen Ann Tita, NP
Psychiatric/Mental Health Nurse Practitioner · Garden City, NY
NPI number
1578670741
Active
Practice location
111 Seventh Street, Suite 111
Garden City, NY 11570
Fax (516) 594-5019
Mailing address
111 Seventh Street, Suite 111
Garden City, NY 11530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401075 (NY) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 340084-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401075 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1578670741
Maureen Ann Tita, NP's National Provider Identifier is 1578670741, issued on Aug 24, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Garden City, NY. The record was last updated on Oct 25, 2011.