| A Registered Professional Nurse, Pllc | |
|
1 Piermont Ave Nyack NY 10960 | |
| (917) 745-5157 | |
| (845) 684-0794 |
| Full Name | A Registered Professional Nurse, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Piermont Ave, Nyack, New York |
| Authorized Official Name and Position | Laura Coleman (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 9177455157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Registered Professional Nurse, Pllc 48 S Broadway Unit 622 Nyack NY 10960-7555 Ph: (917) 745-5157 | A Registered Professional Nurse, Pllc 1 Piermont Ave Nyack NY 10960 Ph: (917) 745-5157 |
| NPI Number | 1487333647 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 4486005576 |
|---|---|
| Medicare Enrollment ID | O20240112003826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487333647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Jeanne Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513035 PECOS PAC ID: 9234520552 Enrollment ID: I20211221002738 |
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