Healthcare Provider Details

I. General information

NPI: 1669136578
Provider Name (Legal Business Name): KATIE LAUREN MCALEER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 WASHINGTON ST
HUNTINGDON PA
16652-1825
US

IV. Provider business mailing address

314 27TH AVE
ALTOONA PA
16601-3635
US

V. Phone/Fax

Practice location:
  • Phone: 814-506-9480
  • Fax:
Mailing address:
  • Phone: 814-935-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP024480
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: