Robert W Detlefsen in Fulton - Psychiatric/mental Health
Robert W Detlefsen - NPI 1134206873
Robert W Detlefsen is a Psychiatric/mental Health in Fulton, Missouri. Robert W Detlefsen practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Robert W Detlefsen is 1134206873. The last update date is 2020-09-16.
Robert W Detlefsen's current location address is 5060 County Road 306, Fulton, Missouri. You can contact this provider via phone number 5735811196 and fax number 5735811981. The mailing address for Robert W Detlefsen is 5060 County Road 306, Fulton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W Detlefsen |
|---|---|
| Address | 5060 County Road 306, Fulton, Missouri |
| Phone Number | 5735811196 |
| Fax Number | 5735811981 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1134206873 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | 5060 County Road 306 |
|---|---|
| City | Fulton |
| State | Missouri (MO) |
| Post Code | 652515436 |
| Phone Number | 5735811196 |
| Fax Number | 5735811981 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | G-115825 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Post Comment/ Review Below
What is the unique identifier code issued to Robert W Detlefsen by the Centers for Medicare & Medicaid Services (CMS)?
The Robert W Detlefsen has been assigned the NPI (National Provider Identifier) 1134206873. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Robert W Detlefsen is geographically located?
The Robert W Detlefsen is physically situated at the following location: 5060 County Road 306, Fulton, MO, 652515436.
What is Robert W Detlefsen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert W Detlefsen is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134206873 to Robert W Detlefsen?
The Centers for Medicare & Medicaid Services assigned the 1134206873 to Robert W Detlefsen on 2006-11-01.
As of what date was the information regarding Robert W Detlefsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert W Detlefsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-16.