Individual
PETERLAND DHAITI ADETIMIRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
333 E BETHANY DR STE J100, ALLEN, TX 75002-3827
(214) 777-2085
Mailing address
8712 MCCUTCHINS DR, MCKINNEY, TX 75070-3550
(718) 813-5109
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1183816
TX
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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