Healthcare Provider Details

I. General information

NPI: 1316850886
Provider Name (Legal Business Name): RISING CURRENTS WELLNESS NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MAPLE GROVE RD
MADRID NY
13660-3172
US

IV. Provider business mailing address

32 MAPLE GROVE RD
MADRID NY
13660-3172
US

V. Phone/Fax

Practice location:
  • Phone: 315-996-3729
  • Fax: 315-257-1558
Mailing address:
  • Phone: 315-996-3729
  • Fax: 315-257-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ANDREA LYNN ARQUIETT
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 315-996-3729