Individual
MS. ELIZABETH WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
VITALITY, 3125 RTE 9W #204, NEW WINDSOR, NY 12553
(914) 502-3998
Mailing address
3125 US ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
(914) 502-3998
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
22566383
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403595
NY
Other
Enumeration date
01/12/2009
Last updated
02/02/2022
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