Organization · Type 2 NPI
Lifespan Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1619805256
Active
Practice location
4539 N 22nd St Ste N
Phoenix, AZ 85016-4639
Fax (888) 444-3116
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 1619805256
Lifespan Psychiatry LLC's National Provider Identifier is 1619805256, issued on May 13, 2026. 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 May 28, 2026.