Organization · Type 2 NPI
Mind Health Restoration PLLC
Psychiatric/Mental Health Nurse Practitioner · Queen Creek, AZ
NPI number
1114711025
Active
Practice location
21455 S Ellsworth Road Set 25
Queen Creek, AZ 85142
Mailing address
2840 E Germann Rd # 1088
Chandler, AZ 85286-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114711025
Mind Health Restoration PLLC's National Provider Identifier is 1114711025, issued on Apr 7, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queen Creek, AZ. The record was last updated on Jun 16, 2025.