Individual provider · Type 1 NPI
Susan Lee Moench, R.N., M.S., C.S., N.P.
Psychiatric/Mental Health Nurse Practitioner · Tully, NY
NPI number
1689875767
Active
Practice location
35 State St
Tully, NY 13159-3218
Fax (315) 696-0264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 312927-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1689875767
Susan Lee Moench, R.N., M.S., C.S., N.P.'s National Provider Identifier is 1689875767, issued on May 29, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tully, NY. The record was last updated on Jul 8, 2007.