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General NPI Number Information
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NPI Number | 1326929902
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Entity Type | Organization
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Legal Business Name | WELLNESS SERENITY PATHWAY NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 245 E MARSHALL ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-7532
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Country | US
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Telephone | 516-272-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 245 E MARSHALL ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-7532
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Country | US
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Telephone | 516-272-0852
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Fax |
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Authorized Official
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Title or Position | PMHNP, FNP
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Name | MS. PATRINE DOUGLAS
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Credential | NP
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Telephone | 516-272-0852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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