Active NPIIndividual providerSole proprietor

Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C

Nurse Practitioner, Psych/Mental Health in East Orange, New Jersey

NPI Number1740190289
Practice location
134 Evergreen Pl, East Orange, NJ 07018-2011
Fax
—
Last updated
September 16, 2026

Marjorie Theodule is a Nurse Practitioner, Psych/Mental Health based in East Orange, NJ. Marjorie Theodule practices in East Orange, NJ and has the professional credentials of DNP APRN PMHNP B-C. The NPI Number for Marjorie Theodule is 1740190289 and holds a License No. 18310 (CT). The current practice location address for Marjorie Theodule is 134 Evergreen Pl, East Orange, NJ 07018-2011 and can be reached out via phone at 862-241-2117.

Provider Profile Details

NPI Number
1740190289
Provider Name
Marjorie Theodule
Credential
DNP APRN PMHNP B-C
Provider Entity Type
Individual
Gender
Female
Address
134 Evergreen Pl, East Orange, NJ 07018-2011
Phone Number
862-241-2117
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2026
Last Update Date
September 16, 2026
Certification Date
September 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Evergreen Pl
East Orange, NJ 07018-2011
Zip
07018-2011
Phone Number
862-241-2117
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
134 Evergreen Pl
East Orange, NJ 07018-2011
City
East Orange
State
NJ
Zip
07018-2011
Phone Number
862-241-2117

License Information

License Number
18310
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C?

The NPI number of Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C is 1740190289. It was assigned on September 8, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C?

Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 18310.

Where does Dr. Marjorie Theodule Sr., DNP APRN PMHNP B-C practice?

The practice location is 134 Evergreen Pl, East Orange, NJ 07018-2011. The office can be reached at 862-241-2117 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740190289 directly on the NPPES registry website.

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