# EMBRACE WELLNESS NURSE PRACTITIONER IN PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063327013
- **Authorized official:** NICKESHIA EVANS NP (PSYCHIATRY NURSE PRACTITIONER)
- **Authorized official phone:** (516) 276-1051

## Contact information

- **Practice address:** 34 WILLIS AVE STE 57, MINEOLA, NY 11501-4406
- **Practice address phone:** (516) 276-1051
- **Practice address fax:** (516) 276-1051
- **Mailing address:** 34 WILLIS AVE STE 57, MINEOLA, NY 11501-4406
- **Mailing address phone:** (516) 276-1051
- **Mailing address fax:** (516) 276-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2026
- **Last updated:** 09/01/2026