Organization · Type 2 NPI

NP Bethany LLC

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1205465770 Active

Practice location

1520 E Pima St
Phoenix, AZ 85034-4639

Mailing address

9745 E Hampton Ave Unit 1102
Mesa, AZ 85209-6301

Specialties and licenses

TaxonomyCodeLicense
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 1205465770

NP Bethany LLC's National Provider Identifier is 1205465770, issued on Apr 6, 2020. 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 Dec 3, 2024.