Provider Demographics
NPI:1679947675
Name:GELMANN, JOELLE (NP-C, ACHPN, CPN)
Entity Type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:
Last Name:GELMANN
Suffix:
Gender:F
Credentials:NP-C, ACHPN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 BROADWAY
Mailing Address - Street 2:APT. 9B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2244
Mailing Address - Country:US
Mailing Address - Phone:703-965-1619
Mailing Address - Fax:
Practice Address - Street 1:110 LAFAYETTE ST
Practice Address - Street 2:SUITE 503
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4116
Practice Address - Country:US
Practice Address - Phone:646-679-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-15
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily