Mary Joyce Katimbang Berlanga, ACNPC-AG, MSN, CCRN
Individual provider Active NPI Acute Care Nurse Practitioner · Garnerville, NY
NPI 1962090241 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1962090241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 1248824 (NY)
- Practice address
- 11 Ashwood LN
Garnerville, NY 10923-1101 - Phone
- (646) 691-5706
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1248824 | NY | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1248824 | NY | Yes |
Addresses
Primary practice location
11 Ashwood LN
Garnerville, NY 10923-1101
Mailing address
11 Ashwood LN
Garnerville, NY 10923-1101
Phone (646) 691-5706
Other providers in Garnerville, NY
- Karen Avgush
- Sharon O Avgush
- Roselene Peggy Beauchard
- Shaquan Belizaire
- Christine A Benvenuto
- Rubina Bhatia
- Farrah Black
- Jared Boateng
- Katelynn Bowen
- Meghan Lynn Brassfield
All providers in Garnerville, NY · Acute Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.