ELLEN DIEUJUSTE
NPI 1679107478
Registered Nurse - Psychiatric/Mental Health in Mount Rainier, MD
Active since March 02, 2020
About Ellen Dieujuste NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN DIEUJUSTE (NPI 1679107478) is an individual psychiatric/mental health provider in Mount Rainier, Maryland, licensed in District Of Columbia (RN1047224) and active in the NPI registry since March 2020.
NPPES Registry Identity
NPI1679107478
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameELLEN DIEUJUSTE
Location Address3719 34TH STMount Rainier, MD 20712-2149
Mailing Address3719 34th StMount Rainier, MD 20712-2149 · (757) 816-2489
Phone(757) 816-2489
Sole ProprietorYes
Enumeration DateMarch 2, 2020
Last NPPES UpdateJune 15, 20202 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1679107478 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in DC · RN1047224
3719 34TH ST, Mount Rainier, MD 20712
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679107478, enumerated as an "individual" on March 02, 2020.
The provider is located at 3719 34TH ST MOUNT RAINIER, MD 20712 and the phone number is (757) 816-2489.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.