Individual
NICOLE LYN BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
550 E MAIN ST STE 103, RIVERHEAD, NY 11901-2672
(631) 761-2880
Mailing address
550 E MAIN ST STE 103, RIVERHEAD, NY 11901-2672
(631) 921-6283
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
717252
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403641
NY
Other
Enumeration date
06/27/2021
Last updated
08/08/2025
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