Doctor Name: | MRS. DEBORAH A MENTZER |
NPI Number: | 1477946242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | SP014277 |
Business Practice Address: | 283 Butler Rd Mount Gretna, PA - 170646085 |
Business Phone Number: | 7172702451 |
Business Fax Number: | 7176752830 |
Mailing Address: | 111 Columbia Dr, COATESVILLE |
State: | PA |
Postal Code: | 193204323 |
Phone Number: | 4848834737 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | SP014277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |