Individual provider · Type 1 NPI

Robert W. Southard, NP

Psychiatric/Mental Health Nurse Practitioner · Riverhead, NY

NPI number 1972695377 Active

Practice location

1380 Roanoke Ave
Riverhead, NY 11901-2098

Fax (631) 369-5336

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF400418 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1972695377

Robert W. Southard, NP's National Provider Identifier is 1972695377, issued on Sep 29, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverhead, NY. The record was last updated on Dec 10, 2010.