Individual
MRS. DEBORAH A MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PMH
Contact information
Practice address
750 EDEN RD, LANCASTER, PA 17601-4712
(717) 399-7381
(717) 391-7517
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014277
PA
Other
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
Enumeration date
03/18/2015
Last updated
03/07/2023
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