National Provider Identifier
Lorie Ann Nellenback, PMHNP-BC
Lorie Ann Nellenback, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Ovid, NY and a listed phone number of (315) 835-6136.
Profile Overview
- NPI
- 1043842867
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- February 10, 2020
- Last Updated
- February 10, 2020
Practice Location
- 1330 County Road 132
- Ovid, NY 14521-9700
Phone: (315) 835-6136
Mailing Address
- PO Box 421
- Weedsport, NY 13166-0421
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1043842867
- Entity Type
- Individual
- Last Name
- Nellenback
- First Name
- Lorie
- Middle Name
- Ann
- Credential
- PMHNP-BC
- Mailing Street Address
- PO Box 421
- Mailing City
- Weedsport
- Mailing State
- NY
- Mailing ZIP Code
- 13166-0421
- Mailing Country
- US
- Mailing Phone
- (315) 406-5161
- Practice Street Address
- 1330 County Road 132
- Practice City
- Ovid
- Practice State
- NY
- Practice ZIP Code
- 14521-9700
- Practice Country
- US
- Practice Phone
- (315) 835-6136
- Enumeration Date
- February 10, 2020
- Last Updated
- February 10, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)