Healthcare Provider Details

I. General information

NPI: 1760169254
Provider Name (Legal Business Name): OLIVIA DEHUS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA ARLEDGE

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 WASHINGTON PIKE STE 303
BRIDGEVILLE PA
15017-2886
US

IV. Provider business mailing address

1370 WASHINGTON PIKE STE 303
BRIDGEVILLE PA
15017-2886
US

V. Phone/Fax

Practice location:
  • Phone: 412-206-0123
  • Fax:
Mailing address:
  • Phone: 412-206-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN.452296
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0034352
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP029696
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: