Organization · Type 2 NPI
Magnolia Sage Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Surprise, AZ
NPI number
1104785369
Active
Practice location
14239 W Bell Rd Ste 203
Surprise, AZ 85374-2471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104785369
Magnolia Sage Psychiatry LLC's National Provider Identifier is 1104785369, issued on Jan 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Surprise, AZ. The record was last updated on Mar 6, 2026.