Healthcare Provider Details

I. General information

NPI: 1154268399
Provider Name (Legal Business Name): TWO RIVERS HEALTH, NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 JOHN ST
MOHAWK NY
13407-1404
US

IV. Provider business mailing address

4795 COMMERCIAL DR # 1011
NEW HARTFORD NY
13413-6211
US

V. Phone/Fax

Practice location:
  • Phone: 315-557-8193
  • Fax: 315-300-1347
Mailing address:
  • Phone: 315-557-8193
  • Fax: 315-300-1347

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: MISS BRITTIE WINTLE
Title or Position: OWNER/PMHNP
Credential: FNP, PMHNP
Phone: 315-527-6755