Individual provider · Type 1 NPI
Susan Martello-Gill, MSN, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Wantagh, NY
NPI number
1598087363
Active
Practice location
1414 Wantagh Ave
Wantagh, NY 11793-2204
Mailing address
623 Stewart Ave
Garden City, NY 11530-4771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | F381822-1 (NY) |
| Family Nurse Practitioner | 363LF0000X | F381822-1 (NY) |
| Pediatric Clinical Nurse Specialist | 364SP0200X | F381822 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401234 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1598087363
Susan Martello-Gill, MSN, FNP, PMHNP's National Provider Identifier is 1598087363, issued on Feb 22, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wantagh, NY. The record was last updated on Mar 23, 2020.