Organization · Type 2 NPI
Liftup Livewell LLC
Psychiatric/Mental Health Nurse Practitioner · Nyack, NY
NPI number
1790640415
Active
Practice location
99 Main St Ste 216
Nyack, NY 10960-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1790640415
Liftup Livewell LLC's National Provider Identifier is 1790640415, issued on Dec 16, 2025. 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 Dec 16, 2025.