# ADVANCED PSYCHIATRIC NURSE PRACTITIONER PRACTICE, PLLC

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

## Provider details

- **NPI number:** 1831120245
- **Authorized official:** DEBORAH P MECCA (CEO)
- **Authorized official phone:** (716) 626-9016

## Contact information

- **Practice address:** 5330 MAIN ST, SUITE 240, WILLIAMSVILLE, NY 14221-5360
- **Practice address phone:** (716) 626-9016
- **Practice address fax:** (716) 626-4271
- **Mailing address:** 5330 MAIN ST, SUITE 240, WILLIAMSVILLE, NY 14221-5360
- **Mailing address phone:** (716) 626-9016
- **Mailing address fax:** (716) 626-4271

## 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:** 07/05/2006
- **Last updated:** 03/19/2008