Individual provider · Type 1 NPI

Catherine Derenoncourt, LPN

Psychiatric/Mental Health Nurse Practitioner · Suffern, NY

NPI number 1619137486 Active

Practice location

44 W Maple Ave Apt 1
Suffern, NY 10901-5813

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X231020 (AK)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2026021962 (AK)
Registered Nurse 163W00000X26NR17881800 (NJ)
Registered Nurse 163W00000XRN305475 (GA)
Registered Nurse 163W00000X695000 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619137486

Catherine Derenoncourt, LPN's National Provider Identifier is 1619137486, issued on Jun 14, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Suffern, NY. The record was last updated on Apr 13, 2026.