NIDAA LLC NPI 1588324438

NPI Information

  • NPI: 1588324438
  • Provider Name: NIDAA LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: NIDAA BEHAVIORAL HEALTH
  • Address: 15850 N 35TH AVE STE 1
    PHOENIX, AZ
    ZIP 85053
  • Phone: (480) 799-4806

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NPI Details

NIDAA LLC is a psychiatric/mental health nurse practitioner in Phoenix, AZ. NIDAA LLC NPI is 1588324438. The provider is registered as an organization entity type.
The provider Is Doing Business As Nidaa Behavioral Health.

The provider's business location address is:

15850 N 35TH AVE STE 1
PHOENIX, AZ
ZIP 85053-885
Phone: (480) 799-4806

The provider's authorized official is Ngozika Vivian Amene .
The authorized official title is Administrator and has the following contact phone number (480) 799-4806.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 9/16/2024.

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
1251S00000XCommunity/Behavioral HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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