MR. Harrison H Detroja, MSN, PMHNP-BC
NPI #1154670628 in Longview, Washington
Provider Information
- NPI Number
- 1154670628
- Entity Type
- Individual
- Name
- MR. Harrison H Detroja, MSN, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- MSN, PMHNP-BC
- Enumeration Date
- Aug 30, 2012
- Last Updated
- Nov 16, 2024
Practice Location
- Address
- 720 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2315
- Phone
- (360) 423-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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