Organization · Type 2 NPI

Grand Canyon Psychiatric Services PLLC

Psychiatric/Mental Health Nurse Practitioner · San Tan Valley, AZ

NPI number 1609571173 Active

Practice location

28581 N Clover Cir
San Tan Valley, AZ 85143-5869

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

Peter NjoguPsychiatric/Mental Health Nurse Practitioner San Tan Valley, AZ NPI 1437862257

Other psychiatric/mental health nurse practitioner providers in San Tan Valley

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NPI record

NPI: 1609571173
Entity type: Organization (Type 2)
Issued: Apr 3, 2023
Last updated: Nov 28, 2023
Status: Active

Other names

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Grand Canyon Psychiatric Services · doing business as
Grand Canyon Psychiatric Services · doing business as

Authorized official

Peter Njogu, APRN
CEO
(316) 371-9196

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609571173

Grand Canyon Psychiatric Services PLLC's National Provider Identifier is 1609571173, issued on Apr 3, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Tan Valley, AZ. The record was last updated on Nov 28, 2023.