Individual provider · Type 1 NPI
Diane Meloche Justusson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tampa, FL
NPI number
1114178688
Active
Practice location
4115 W Spruce St Ste 205
Tampa, FL 33607-2485
Fax (617) 807-0958
Mailing address
87-1048 Huamoa St
Waianae, HI 96792-3435
Other practice locations
- 87-1048 Huamoa St, Waianae, HI 96792-3435 · (808) 375-7317
- 86-260 Farrington Hwy, Attn: Credentialing, Waianae, HI 96792-3128 · (808) 697-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1433 (HI) |
| Advanced Practice Midwife | 367A00000X | 1433 (HI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11038302 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114178688
Diane Meloche Justusson, PMHNP's National Provider Identifier is 1114178688, issued on Oct 2, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tampa, FL. The record was last updated on May 16, 2025.