# BRANDY WADSWORTH NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1417894940
- **Authorized official:** BRANDY WADSWORTH PMHNP-BC (OWNER/PRACTITIONER)
- **Authorized official phone:** (518) 505-9414

## Contact information

- **Practice address:** 221 MAIN STREET, SUITE 2, HUDSON FALLS, NY 12839
- **Practice address phone:** (518) 599-8460
- **Practice address fax:** (253) 366-8595
- **Mailing address:** 2 BURGOYNE AVE, FORT EDWARD, NY 12828-1511
- **Mailing address phone:** (518) 505-9414
- **Mailing address fax:** (253) 366-8595

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/01/2026