Individual provider · Type 1 NPI
Mercedes Julia Dettra, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1346066859
Active
Practice location
111 N 49th St
Philadelphia, PA 19139-2718
Mailing address
913 S 51st St Apt 4
Philadelphia, PA 19143-3260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP031168 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1346066859
Mercedes Julia Dettra, PMHNP's National Provider Identifier is 1346066859, issued on Nov 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 30, 2024.