Individual
MARTHA MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2578 BROADWAY # 607, NEW YORK, NY 10025-5642
(646) 979-8031
Mailing address
1910 MADISON AVE, PMB #87, MEMPHIS, TN 38104
(646) 979-8031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405009
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC004144
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61445607
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0000024885
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405009
NY BOARD OF NURSING, NURSE PRACTITIONER IN PSYCHIATRY
NY
01
—
AC004144
MD BOARD OF NURSING, CRNP-PMH
—
01
—
AP61445607
WA BOARD OF NURSING, ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
01
—
APN0000024885
APRN LICENSE
TN
Enumeration date
11/16/2018
Last updated
06/16/2025
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