Joan Marie Killeen, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Guilderland, NY. Individual provider (NPI-1).
NPI number1164064275
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1164064275
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Joan Marie Killeen
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 402875 | NY | Yes |
Practice location
2280 Western AveGuilderland, NY 12084-9210
Phone 518-417-1847
Mailing address
2280 Western AveGuilderland, NY 12084-9210
Phone 518-417-1847 · Fax 518-240-4244
Other practice locations
2215 Burdett Ave
Troy, NY 12180-2466
Troy, NY 12180-2466
Phone 518-271-3374
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Guilderland, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.