Individual provider · Type 1 NPI

Marjorie Theodule Sr., DNP. APRN PMHNP B-C

Psychiatric/Mental Health Nurse Practitioner · East Orange, NJ

NPI number 1740190289 Active

Practice location

134 Evergreen Pl
East Orange, NJ 07018-2011

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X18310 (CT)

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

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About NPI 1740190289

Marjorie Theodule Sr., DNP. APRN PMHNP B-C's National Provider Identifier is 1740190289, issued on Sep 8, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Orange, NJ. The record was last updated on Sep 16, 2026.