Healthcare Provider Details

I. General information

NPI: 1346154820
Provider Name (Legal Business Name): ERNST DEBROSSE PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WELLNESS WAY
READING PA
19605-8902
US

IV. Provider business mailing address

113 SHADYBROOKE DR S
DOUGLASSVILLE PA
19518-1319
US

V. Phone/Fax

Practice location:
  • Phone: 484-926-6492
  • Fax:
Mailing address:
  • Phone: 267-515-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP036993
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: