Individual provider · Type 1 NPI
Kaitlin Rae Nastassja Pam, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Reynoldsburg, OH
NPI number
1720940844
Active
Practice location
3145 Earlington Ln
Reynoldsburg, OH 43068-4094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0040600 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720940844
Kaitlin Rae Nastassja Pam, MSN, APRN, PMHNP-BC's National Provider Identifier is 1720940844, issued on Nov 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Reynoldsburg, OH. The record was last updated on Nov 26, 2025.