MARICOPA FAMILY PSYCHIATRY PLLC NPI 1205492972

NPI Information

NPI: 1205492972
Provider Name: MARICOPA FAMILY PSYCHIATRY PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 03D1031147

Address:
42840 W BRAVO DR
MARICOPA, AZ
ZIP 85138
Phone: (520) 705-2249
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MARICOPA FAMILY PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Maricopa, AZ. MARICOPA FAMILY PSYCHIATRY PLLC NPI is 1205492972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42840 W BRAVO DR
MARICOPA, AZ
ZIP 85138-473
Phone: (520) 705-2249

The provider's authorized official is Kelsey Brisbin .
The authorized official title is Owner and has the following contact phone number (520) 705-2249.

The CLIA number assigned to this NPI record is 03D1031147 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2019 and was last updated on 5/17/2019.

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			Yes

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: 4/28/2024

NPI Synchronization or Removal

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