Individual provider · Type 1 NPI

Elisabeth Ruth Decelles, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Salem, OR

NPI number 1114435807 Active

Practice location

1233 Edgewater St NW
Salem, OR 97304-4049

Mailing address

2550 E Show Low Lake Rd Bldg B
Show Low, AZ 85901-7929

Other practice locations

  • 2550 E Show Low Lake Rd Bldg B, Show Low, AZ 85901-7929 · (928) 537-2951

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP10900 (AZ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201902988NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114435807

Elisabeth Ruth Decelles, PMHNP's National Provider Identifier is 1114435807, issued on Jan 16, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, OR. The record was last updated on Nov 27, 2023.