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Christian Witherell
Psychiatric/Mental Health Nurse Practitioner in Southold, New York
NPI 1144948175

Christian Witherell is a Psychiatric/Mental Health Nurse Practitioner based in Southold, NY and is specialized in Psychiatric/Mental Health. Christian Witherell practices in Southold, NY. The NPI Number for Christian Witherell is 1144948175 and holds a License No. 404304 (New York).

The current practice location address for Christian Witherell is 19995 Soundview Ave, Southold, NY and can be reached out via phone at 631-335-5541.

Location: 19995 Soundview Ave, Southold, NY, 11971-2820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144948175
Provider Name
Christian Witherell
Credential
Provider Entity Type
Individual
Gender
Male
Address
19995 Soundview Ave, Southold, NY, 11971-2820
Phone Number
631-335-5541
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19995 Soundview Ave
City
Southold
State
New York
Zip
11971-2820
Phone Number
631-335-5541
Fax Number
person
Provider Business Mailing Address Details
Address
19995 Soundview Ave
City
Southold
State
New York
Zip
11971-2820
Phone Number
631-335-5541
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
404304 (New York)
Definition
Definition to come...
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