institution
Ponderosa Psychiatry Pllc
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1548012966

Ponderosa Psychiatry Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Ponderosa Psychiatry Pllc practices in Phoenix, AZ. The NPI Number for Ponderosa Psychiatry Pllc is 1548012966 and holds a License No. (Arizona).

The current practice location address for Ponderosa Psychiatry Pllc is 2030 W Baseline Rd # 182-8355, Phoenix, AZ and can be reached out via phone at 928-235-2927 and via fax at 928-268-0289.

Location: 2030 W Baseline Rd # 182-8355, Phoenix, AZ, 85041-6574
institution
Provider Profile Details
NPI Number
1548012966
Provider Name
Ponderosa Psychiatry Pllc
Credential
Provider Entity Type
Organization
Address
2030 W Baseline Rd # 182-8355, Phoenix, AZ, 85041-6574
Phone Number
928-235-2927
Fax Number
928-268-0289
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2030 W Baseline Rd # 182-8355
City
State
Zip
85041-6574
Phone Number
928-235-2927
Fax Number
928-268-0289
person
Provider Business Mailing Address Details
Address
2030 W Baseline Rd # 182-8355
City
State
Zip
85041-6574
Phone Number
928-235-2927
Fax Number
928-268-0289
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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