Organization · Type 2 NPI

Divine Wellness Psychiatric Services PLLC

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1245007210 Active

Practice location

3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616

Mailing address

3880 W Ranier Ct Ste 183
Anthem, AZ 85086-8018

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1245007210

Divine Wellness Psychiatric Services PLLC's National Provider Identifier is 1245007210, issued on Dec 8, 2023. 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 8, 2023.