LORIE ANN NELLENBACK PMHNP-BC NPI 1043842867

NPI Information

  • NPI: 1043842867
  • Provider Name: LORIE ANN NELLENBACK, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1330 COUNTY ROAD 132
    OVID, NY
    ZIP 14521
  • Phone: (315) 835-6136

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NPI Details

Lorie Ann Nellenback, PMHNP-BC is a psychiatric/mental health nurse practitioner in Ovid, NY. Lorie Ann Nellenback, PMHNP-BC NPI is 1043842867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1330 COUNTY ROAD 132
OVID, NY
ZIP 14521-700
Phone: (315) 835-6136

The enumeration date for this NPI number is 2/10/2020 and was last updated on 2/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF402660-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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