Lavender Kansas Psychiatric Nurse Practitioner Pa

Specialty details in registry · New York, NY

Call (855) 444-7258 Directions

At a glance

245 5Th Ave Fl 3, New York, NY 10016-8728

NPPES record updated Feb 24, 2026. Public records can lag behind changes at a practice.

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Practice location

245 5Th Ave Fl 3
New York, NY 10016-8728

Professional details: NPI, taxonomy & registry record

NPI1588518823

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 363LP0808X
Enumeration date: Feb 24, 2026
Record updated: Feb 24, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X

Specialty details in registry

363LP0808X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

245 5Th Ave Fl 3
New York, NY 10016-8728

Phone: (855) 444-7258

Mailing address

22406 68TH AVE W

MOUNTLAKE TERRACE, WA 980432372

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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