Individual provider · Type 1 NPI
Mary Izzo Wight, PMHNP, RN, BSN, LAC
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1740347095
Active
Practice location
1630 E 15th St Fl 2
Brooklyn, NY 11229-1193
Fax (914) 220-4231
Mailing address
229 E 8th St # 3
Brooklyn, NY 11218-3303
Other practice locations
- 229 E 8th St # 3, Brooklyn, NY 11218-3303 · (718) 483-5515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 664500 (NY) |
| Acupuncturist | 171100000X | 25003048 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403071 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740347095
Mary Izzo Wight, PMHNP, RN, BSN, LAC's National Provider Identifier is 1740347095, issued on Jan 3, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 21, 2020.