Individual
MS. AMANDA J WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
122 W ROE BLVD, PATCHOGUE, NY 11772-2569
(631) 260-1314
Mailing address
122 W ROE BLVD, PATCHOGUE, NY 11772-2569
(631) 260-1314
(631) 532-1981
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F401895-1
LICENSE NUMBER
NY
Enumeration date
09/02/2014
Last updated
07/21/2022
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