Provider Demographics
NPI:1760720536
Name:TOUPIN, NITA (PMHNP)
Entity Type:Individual
Prefix:
First Name:NITA
Middle Name:
Last Name:TOUPIN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 SWITZER HILL RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAMS
Mailing Address - State:NY
Mailing Address - Zip Code:14812-9732
Mailing Address - Country:US
Mailing Address - Phone:607-684-0110
Mailing Address - Fax:607-306-4839
Practice Address - Street 1:106 S PERRY ST
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891-1636
Practice Address - Country:US
Practice Address - Phone:570-535-8282
Practice Address - Fax:607-535-8284
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524956L163WP0808X
NYF402979-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health