Organization · Type 2 NPI

Prisma Community Care

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1104929504 Active

Practice location

1101 N. Central Avenue, Suite 200
Phoenix, AZ 85004

Call (602) 307-5330 Map

Fax (602) 307-5021

Mailing address

1101 N Central Ave Ste 200
Phoenix, AZ 85004-1844

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Registered Nurse 163W00000XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104929504

Prisma Community Care's National Provider Identifier is 1104929504, issued on Sep 7, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 2, 2026.