Individual provider · Type 1 NPI
Ailissa Tekla Retalic, APRN
Psychiatric/Mental Health Nurse Practitioner · Debary, FL
NPI number
1417847492
Active
Practice location
110 Pond Ct Ste 201
Debary, FL 32713-2717
Mailing address
1826 Whippoorwill Ln
Deland, FL 32720-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11040778 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Debary
About NPI 1417847492
Ailissa Tekla Retalic, APRN's National Provider Identifier is 1417847492, issued on Jul 9, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Debary, FL. The record was last updated on Dec 9, 2025.