Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georges Theodule, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740967215

Georges Theodule, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone: (215) 487-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP027645 (PA)

Record details

NPI number1740967215
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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