institution
Mikkadesh Mental Healthcare Llc
Psychiatric/Mental Health Nurse Practitioner in Puyallup, Washington
NPI 1063120020

Mikkadesh Mental Healthcare Llc is a Psychiatric/Mental Health Nurse Practitioner based in Puyallup, WA and is specialized in Psychiatric/Mental Health. Mikkadesh Mental Healthcare Llc practices in Puyallup, WA. The NPI Number for Mikkadesh Mental Healthcare Llc is 1063120020 and holds a License No. (Washington).

The current practice location address for Mikkadesh Mental Healthcare Llc is 12923 Emerald Ridge Blvd E, Puyallup, WA and can be reached out via phone at 801-649-7584.

Location: 12923 Emerald Ridge Blvd E, Puyallup, WA, 98374-8403
institution
Provider Profile Details
NPI Number
1063120020
Provider Name
Mikkadesh Mental Healthcare Llc
Credential
Provider Entity Type
Organization
Address
12923 Emerald Ridge Blvd E, Puyallup, WA, 98374-8403
Phone Number
801-649-7584
Fax Number
Provider Enumeration Date
11/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12923 Emerald Ridge Blvd E
City
State
Zip
98374-8403
Phone Number
801-649-7584
Fax Number
person
Provider Business Mailing Address Details
Address
12923 Emerald Ridge Blvd E
City
State
Zip
98374-8403
Phone Number
801-649-7584
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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