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Theselah Wellness Llc
Psychiatric/Mental Health Nurse Practitioner in Surprise, Arizona
NPI 1144901315

Theselah Wellness Llc is a Psychiatric/Mental Health Nurse Practitioner based in Surprise, AZ and is specialized in Psychiatric/Mental Health. Theselah Wellness Llc practices in Surprise, AZ. The NPI Number for Theselah Wellness Llc is 1144901315 and holds a License No. (Arizona).

The current practice location address for Theselah Wellness Llc is 17737 W Larkspur Dr, Surprise, AZ and can be reached out via phone at 623-203-2608.

Location: 17737 W Larkspur Dr, Surprise, AZ, 85388-5634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144901315
Provider Name
Theselah Wellness Llc
Credential
Provider Entity Type
Organization
Address
17737 W Larkspur Dr, Surprise, AZ, 85388-5634
Phone Number
623-203-2608
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17737 W Larkspur Dr
City
Surprise
State
Arizona
Zip
85388-5634
Phone Number
623-203-2608
Fax Number
person
Provider Business Mailing Address Details
Address
17737 W Larkspur Dr
City
Surprise
State
Arizona
Zip
85388-5634
Phone Number
623-203-2608
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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