Individual provider · Type 1 NPI
Idorenyin Philip, NP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1639886583
Active
Practice location
1407 S 9th Ave
Phoenix, AZ 85007-3904
Mailing address
9015 W Union Hills Dr Ste 107, #344
Peoria, AZ 85382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 282721 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1639886583
Idorenyin Philip, NP's National Provider Identifier is 1639886583, issued on Oct 31, 2022. 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 Oct 31, 2022.