Individual provider · Type 1 NPI

Diane Dettmore

Psychiatric/Mental Health Nurse Practitioner · Wayne, NJ

NPI number 1285045757 Active

Practice location

1340 Hamburg Tpke
Wayne, NJ 07470-4003

Call (973) 633-1996 Map

Mailing address

57 Montross Ave
Rutherford, NJ 07070-1147

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ00456900 (NJ)

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

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About NPI 1285045757

Diane Dettmore's National Provider Identifier is 1285045757, issued on May 18, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wayne, NJ. The record was last updated on May 18, 2014.