Organization · Type 2 NPI
Fatima Odetalla, NP In Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Nyack, NY
NPI number
1639771744
Active
Practice location
99 Main St Ste 302
Nyack, NY 10960-3109
Mailing address
65 E Maltbie Ave
Suffern, NY 10901-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Nyack
About NPI 1639771744
Fatima Odetalla, NP In Psychiatry, PLLC's National Provider Identifier is 1639771744, issued on Nov 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Nyack, NY. The record was last updated on Nov 13, 2020.