Individual provider · Type 1 NPI
Courtney M. Subudhi, DNP, CNM, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Manakin Sabot, VA
NPI number
1669886578
Active
Practice location
42 Broad Street Rd Ste 1012
Manakin Sabot, VA 23103-2213
Fax (804) 203-0806
Other practice locations
- 7515 Falcon Crest Dr, Redmond, OR 97756-5014 · (804) 376-5319
- 7901 4th St N Ste 24658, St. Petersburg, FL 33702-4305 · (804) 376-5319
- 4620 Cedar Ave Ste 117, Wilmington, NC 28403-4423 · (804) 376-5319
- 13710 St Francis Blvd, Midlothian, VA 23114-3267 · (804) 564-1971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5021909 (NC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | TPAN3132 (FL) |
| Family Nurse Practitioner | 363LF0000X | 0024173593 (VA) |
| Advanced Practice Midwife | 367A00000X | 0024173593 (VA) |
| Family Nurse Practitioner | 363LF0000X | TPAN3132 (FL) |
| Family Nurse Practitioner | 363LF0000X | 5021909 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024173593 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1669886578
Courtney M. Subudhi, DNP, CNM, FNP, PMHNP's National Provider Identifier is 1669886578, issued on Jun 18, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manakin Sabot, VA. The record was last updated on Jun 10, 2026.