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
—
—
Other
Enumeration date
12/06/2024
Last updated
10/28/2025
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