TANIESHA A MUNDLE
NPI 1578397436
Registered Nurse - Psychiatric/Mental Health, Adult in Albany, NY
Active since August 31, 2024
About Taniesha A Mundle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANIESHA A MUNDLE (NPI 1578397436) is an individual psychiatric/mental health, adult provider in Albany, New York, licensed in New York (762481) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1578397436
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameTANIESHA A MUNDLE
Location Address75 NEW SCOTLAND AVEAlbany, NY 12208-3409
Mailing Address75 New Scotland AveAlbany, NY 12208-3409 · (518) 549-6000
Phone(518) 549-6000
Sole ProprietorNo
Enumeration DateAugust 31, 2024
NPPES CertifiedAugust 31, 2024
✔ NPI 1578397436 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in NY · 762481
75 NEW SCOTLAND AVE, Albany, NY 12208
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Health Maintenance Organization
75 NEW SCOTLAND AVE
ALBANY, NY 12208
ALBANY, NY 12208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578397436, enumerated as an "individual" on August 31, 2024.
The provider is located at 75 NEW SCOTLAND AVE ALBANY, NY 12208 and the phone number is (518) 549-6000.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.
