Individual provider · Type 1 NPI
Georges Theodule, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1740967215
Active
Practice location
561 Fairthorne Ave
Philadelphia, PA 19128-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP027645 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740967215
Georges Theodule, PMHNP-BC's National Provider Identifier is 1740967215, issued on Jun 28, 2023. 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 Jun 28, 2023.