Diane Dettmore Valid NPI

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

NPI

1285045757

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

26NJ00456900 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2014-05-18

Last updated

2014-05-18