# MRS. DEBORAH A MENTZER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477946242
- **Gender:** F
- **Credential:** CRNP, PMH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP014277 | PA | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103076720 | — | PA |
| 01 | — | 13608593 | CAQH | — |
| 01 | — | RN233545L | STATE LICENSE - RN | PA |
| 01 | — | SP014277 | STATE LICENSE CRNP | PA |