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Mrs. Kay Lynn Southwell, PMHNP-BC,NPC
Psychiatric/Mental Health Nurse Practitioner in Mesa, Arizona
NPI 1730320623

Kay Lynn Southwell is a Psychiatric/Mental Health Nurse Practitioner based in Mesa, AZ and is specialized in Psychiatric/Mental Health. Kay Lynn Southwell practices in Mesa, AZ and has the professional credentials of PMHNP-BC,NPC. The NPI Number for Kay Lynn Southwell is 1730320623 and holds a License No. 4704216251 (Arizona).

The current practice location address for Kay Lynn Southwell is 1910 S Stapley Dr Ste 217, Mesa, AZ and can be reached out via phone at 602-888-0370.

Location: 1910 S Stapley Dr Ste 217, Mesa, AZ, 85212-9802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730320623
Provider Name
Kay Lynn Southwell
Credential
PMHNP-BC,NPC
Provider Entity Type
Individual
Gender
Female
Address
1910 S Stapley Dr Ste 217, Mesa, AZ, 85212-9802
Phone Number
602-888-0370
Fax Number
Provider Enumeration Date
03/23/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0B56065 01 AZ MEDICARE PART B
0B56065 01 MI MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1910 S Stapley Dr Ste 217
City
Mesa
State
Arizona
Zip
85204-6679
Phone Number
602-888-0370
Fax Number
person
Provider Business Mailing Address Details
Address
1910 S Stapley Dr Ste 217
City
Mesa
State
Arizona
Zip
85204-6679
Phone Number
602-888-0370
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.
AP8742 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
4704216251 (Michigan)
Definition
Definition to come...
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