Individual
MR. HARRISON H DETROJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
(360) 577-0187
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60302056
WA
363LF0000X
Family Nurse Practitioner
AP60302056
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60302056
WA
Other
Enumeration date
08/30/2012
Last updated
11/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us