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Mr. Harrison H Detroja, MSN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Longview, Washington
NPI 1154670628

Harrison H Detroja is a Psychiatric/Mental Health Nurse Practitioner based in Longview, WA and is specialized in Psychiatric/Mental Health. Harrison H Detroja practices in Longview, WA and has the professional credentials of MSN,PMHNP-BC. The NPI Number for Harrison H Detroja is 1154670628 and holds a License No. AP60302056 (Washington).

The current practice location address for Harrison H Detroja is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0187.

Location: 720 14Th Ave, Longview, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154670628
Provider Name
Harrison H Detroja
Credential
MSN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
720 14Th Ave, Longview, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-577-0187
Provider Enumeration Date
08/30/2012
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP60302056 (Washington)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60302056 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP60302056 (Washington)
Definition
Definition to come...
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