Organization
ALERT MIND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC EXILUS NP (OWNER)
(302) 722-4740
Entity
Organization
Contact information
Practice address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(302) 722-4740
Mailing address
1747 MICHELANGELO DR, MIDDLETOWN, DE 19709-1804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
03/05/2024
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