Individual provider · Type 1 NPI
Matthew Deise
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1760021885
Active
Practice location
3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Mailing address
5550 N 16th St Apt 175
Phoenix, AZ 85016-2946
Other practice locations
- 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 · (877) 931-9142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 236093 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1760021885
Matthew Deise's National Provider Identifier is 1760021885, issued on Jan 6, 2020. 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 Nov 18, 2021.