Individual
MICHAEL WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2248 BROADWAY # 1243, NEW YORK, NY 10024-5805
(347) 201-6815
(725) 567-4149
Mailing address
2248 BROADWAY # 1243, NEW YORK, NY 10024-5805
(347) 201-6815
(725) 567-4149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405634
NY
Other
Enumeration date
12/12/2019
Last updated
04/26/2025
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