Individual
NANCY SERBELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CDE, ANP-BC
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 305-0114
Mailing address
161 FORT WASHINGTON AVE FL 11, NEW YORK, NY 10032-3729
(212) 305-0114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306741
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F407186-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
12/02/2013
Last updated
02/10/2026
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