Horizons Wellness Family Health NP PLLC
Ambulatory · Middletown, NY
- 1
- open role, live count
- 4.9
- Google rating
On the floor
What the day-to-day looks like
- Setting
- Ambulatory
The city
Living in Middletown, NY
Middletown sits in New York's Hudson Valley, roughly 65 miles northwest of Manhattan. The Wallkill River winds through this small city, which blends suburban convenience with rural scenery. Out-of-state RNs will find a slower pace, affordable housing compared to downstate, and easy Metro-North access for weekend trips to the city.
Browse roles in Middletown
- State price level · New York
- 8% above the national average
- State index 107.9 (100 = national)
- Median gross rent
- $1,661/mo
- rent and tenant-paid utilities
- Median household income
- $79,346/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
Horizons Wellness Family Health NP PLLC is a small, privately-owned family medicine and mental health practice located in Middletown, Orange County, New York.
- Ambulatory · Middletown
More about Horizons Wellness Family Health NP PLLC
Founded and led by Albalira Gibson-Borrelli, MSN, APRN, FNP-BC, the practice offers primary care, chronic condition management, depression treatment, Spravato™ (esketamine) therapy, and weight loss services. The practice operates as a PLLC (Professional Limited Liability Company), indicating a nurse practitioner-led private practice model. The practice uses Zocdoc for online appointment booking, suggesting a modern, patient-accessible approach to scheduling. Based on the current job posting, the practice is expanding its mental health services and seeking a Psychiatric Nurse Practitioner to join the team, indicating growth in behavioral health offerings. This is an outpatient, ambulatory care setting rather than a hospital or inpatient facility, and nursing professionals would work in a clinic environment focused on whole-person wellness integrating physical and mental health care.
Working here
Culture and working life
What to consider
The good
- Nurse practitioner-led practice model offering potential for peer collaboration with an FNP founder
- Integrated primary care and mental health focus providing diverse clinical experience
- Small practice environment likely offering autonomy and close provider relationships
- Modern patient access tools including Zocdoc online booking platform
- Expanding mental health services creating new role opportunities for psychiatric nurse practitioners
- Focus on wellness and preventive care rather than acute illness management
The hard parts
- Small private practice may have limited resources, benefits, or advancement opportunities compared to larger health systems
- Very small team may mean limited peer support and high individual responsibility
- No publicly available employee reviews or ratings to assess workplace satisfaction
The reality check
Before you decide
Quick facts
- Relationship
- Direct employer
- Roles last seen active
- Jun 19, 2026
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