person
Shasta Treadway, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Walton, New York
NPI 1245953959

Shasta Treadway is a Psychiatric/Mental Health Nurse Practitioner based in Walton, NY and is specialized in Psychiatric/Mental Health. Shasta Treadway practices in Walton, NY and has the professional credentials of PMHNP. The NPI Number for Shasta Treadway is 1245953959 and holds a License No. 404416 (New York).

The current practice location address for Shasta Treadway is 2 Titus Pl, Walton, NY and can be reached out via phone at 607-865-2400 and via fax at 607-865-7305.

Location: 2 Titus Pl, Walton, NY, 13856-1457
person
Provider Profile Details
NPI Number
1245953959
Provider Name
Shasta Treadway
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2 Titus Pl, Walton, NY, 13856-1457
Phone Number
607-865-2400
Fax Number
607-865-7305
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Titus Pl
City
State
Zip
13856-1455
Phone Number
607-865-2400
Fax Number
607-865-7305
person
Provider Business Mailing Address Details
Address
2 Titus Pl
City
State
Zip
13856-1455
Phone Number
607-865-2400
Fax Number
607-865-7305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
404416 (New York)
Definition
Definition to come...
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