Casey M Gallagher-Licitra, RN, PMHNP

NPI #1215439336 in Ithaca, New York

Provider Information

NPI Number
1215439336
Entity Type
Individual
Name
Casey M Gallagher-Licitra, RN, PMHNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
RN, PMHNP
Enumeration Date
Mar 5, 2018
Last Updated
Jan 7, 2025

Practice Location

Address
201 E GREEN ST
City
Ithaca
ZIP Code
14850-5635
Phone
(607) 274-6200

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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