Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FATIMA ODETALLA, DNP, FNP/PMHNP-BC
Active Sole ProprietorDR. FATIMA ODETALLA, DNP, FNP/PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SUFFERN, New York. NPI 1881005478 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SUFFERN, NY
Registration Details
- NPI Number
- 1881005478
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2014 (12.219578318498 yrs)
- Last Updated
- Nov 17, 2020
- Licenses
-
F338723 (NY)18374 (TN)18374 (TN)F401694 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
65 E MALTBIE AVESUFFERN, NY, 109016007Browse NY providers · Browse ZIP 10901
- Phone
- 9015907680
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in SUFFERN, NY
| Name | Credential | NPI |
|---|---|---|
| JOAN DICHIARO | PNP MS CNS | 1265528731 |
| NECHAMA KELLER-SABEL | NPP | 1346608221 |
| AMY-RUTH ABENA ASAMOAH | PMHNP | 1821968017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.