Phenita Sammantha Mouzon Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ

NPI

1003563636

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

26NJ01281000 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2022-03-03

Last updated

2023-08-15