person
Diane Dettmore
Psychiatric/Mental Health Nurse Practitioner in Wayne, New Jersey
NPI 1285045757

Diane Dettmore is a Psychiatric/Mental Health Nurse Practitioner based in Rutherford, NJ and is specialized in Psychiatric/Mental Health. Diane Dettmore practices in Wayne, NJ. The NPI Number for Diane Dettmore is 1285045757 and holds a License No. 26NJ00456900 (New Jersey).

The current practice location address for Diane Dettmore is 1340 Hamburg Tpke, Wayne, NJ and can be reached out via phone at 973-633-1996.

Location: 1340 Hamburg Tpke, Wayne, NJ, 07070-1147
person
Provider Profile Details
NPI Number
1285045757
Provider Name
Diane Dettmore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1340 Hamburg Tpke, Wayne, NJ, 07070-1147
Phone Number
973-633-1996
Fax Number
Provider Enumeration Date
05/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Hamburg Tpke
City
State
Zip
07470-4003
Phone Number
973-633-1996
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Hamburg Tpke
City
State
Zip
07470-4003
Phone Number
973-633-1996
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ00456900 (New Jersey)
Definition
Definition to come...
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