Healthcare Provider Details

I. General information

NPI: 1770247256
Provider Name (Legal Business Name): ARNELL FAY TUTTLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FAMILY PRACTICE DR
KINGSTON NY
12401-6449
US

IV. Provider business mailing address

108 SAWDUST AVE
KINGSTON NY
12401-8443
US

V. Phone/Fax

Practice location:
  • Phone: 845-338-6400
  • Fax: 845-633-5963
Mailing address:
  • Phone: 845-242-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number553024-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number404978
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: