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Ultimate Physical And Mental Health Clinic Llc
Psychiatric/Mental Health Nurse Practitioner in Peoria, Arizona
NPI 1376276360

Ultimate Physical And Mental Health Clinic Llc is a Psychiatric/Mental Health Nurse Practitioner based in Goodyear, AZ and is specialized in Psychiatric/Mental Health. Ultimate Physical And Mental Health Clinic Llc practices in Peoria, AZ. The NPI Number for Ultimate Physical And Mental Health Clinic Llc is 1376276360 and holds a License No. (Arizona).

The current practice location address for Ultimate Physical And Mental Health Clinic Llc is 13350 N 94Th Dr Ste B102, Peoria, AZ and can be reached out via phone at 310-956-0556.

Location: 13350 N 94Th Dr Ste B102, Peoria, AZ, 85338-6291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376276360
Provider Name
Ultimate Physical And Mental Health Clinic Llc
Credential
Provider Entity Type
Organization
Address
13350 N 94Th Dr Ste B102, Peoria, AZ, 85338-6291
Phone Number
310-956-0556
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13350 N 94Th Dr Ste B102
City
Peoria
State
Arizona
Zip
85381-4826
Phone Number
310-956-0556
Fax Number
person
Provider Business Mailing Address Details
Address
13350 N 94Th Dr Ste B102
City
Peoria
State
Arizona
Zip
85381-4826
Phone Number
310-956-0556
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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