SERENITY PSYCHIATRIC HEALTH INC. NPI 1801394184

NPI Information

NPI: 1801394184
Provider Name: SERENITY PSYCHIATRIC HEALTH INC.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
143 N MCCORMICK ST STE 103
PRESCOTT, AZ
ZIP 86301
Phone: (928) 899-7784
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SERENITY PSYCHIATRIC HEALTH INC. is a psychiatric/mental health nurse practitioner in Prescott, AZ. SERENITY PSYCHIATRIC HEALTH INC. NPI is 1801394184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

143 N MCCORMICK ST STE 103
PRESCOTT, AZ
ZIP 86301-725
Phone: (928) 899-7784
Fax: (623) 218-1396

The provider's authorized official is Inge Gisela Bundchen .
The authorized official title is President and has the following contact phone number (623) 698-2567.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 2/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP4183	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1942532734	OTHER	ARIZONA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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