person
Georges Theodule, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1740967215

Georges Theodule is a Psychiatric/Mental Health Nurse Practitioner based in Philadelphia, PA and is specialized in Psychiatric/Mental Health. Georges Theodule practices in Philadelphia, PA and has the professional credentials of PMHNP-BC. The NPI Number for Georges Theodule is 1740967215 and holds a License No. SP027645 (Pennsylvania).

The current practice location address for Georges Theodule is 561 Fairthorne Ave, Philadelphia, PA and can be reached out via phone at 215-487-4000.

Location: 561 Fairthorne Ave, Philadelphia, PA, 19128-2412
person
Provider Profile Details
NPI Number
1740967215
Provider Name
Georges Theodule
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
561 Fairthorne Ave, Philadelphia, PA, 19128-2412
Phone Number
215-487-4000
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
561 Fairthorne Ave
City
State
Zip
19128-2412
Phone Number
215-487-4000
Fax Number
person
Provider Business Mailing Address Details
Address
561 Fairthorne Ave
City
State
Zip
19128-2412
Phone Number
215-487-4000
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.
SP027645 (Pennsylvania)
Definition
Definition to come...
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