Organization · Type 2 NPI
Phoenix Medical Group PLLC
Psychiatric/Mental Health Nurse Practitioner · Glen Allen, VA
NPI number
1730834326
Active
Practice location
11357 Nuckols Rd # 2091
Glen Allen, VA 23059-5504
Fax (804) 729-5887
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
Other psychiatric/mental health nurse practitioner providers in Glen Allen
About NPI 1730834326
Phoenix Medical Group PLLC's National Provider Identifier is 1730834326, issued on Feb 13, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Allen, VA. The record was last updated on May 12, 2026.