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Organization
INTEGRATIVE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization
INTEGRATIVE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE MARIE MCLEOD PMHNP (OWNER)
(716) 578-5788
Entity
Organization
Contact information
Practice address
5775 BROADWAY ST, LANCASTER, NY 14086-2456
(716) 544-8848
(888) 612-0831
Mailing address
81 DARTWOOD DR, CHEEKTOWAGA, NY 14227-3121
(716) 578-5788
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
10/28/2025
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