Individual provider · Type 1 NPI
Fatima Odetalla, DNP, FNP/PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Suffern, NY
NPI number
1881005478
Active
Practice location
65 E Maltbie Ave
Suffern, NY 10901-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338723 (NY) |
| Family Nurse Practitioner | 363LF0000X | 18374 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18374 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F401694 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1881005478
Fatima Odetalla, DNP, FNP/PMHNP-BC's National Provider Identifier is 1881005478, issued on May 16, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Suffern, NY. The record was last updated on Nov 17, 2020.