Organization · Type 2 NPI
Mindful Restoration, LLC
Psychiatric/Mental Health Nurse Practitioner · Derby, KS
NPI number
1932084969
Active
Practice location
330 E Madison Ave # B-9
Derby, KS 67037-1739
Fax (316) 847-6080
Mailing address
330 E Madison Ave
Derby, KS 67037-1739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Derby
About NPI 1932084969
Mindful Restoration, LLC's National Provider Identifier is 1932084969, issued on Aug 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Derby, KS. The record was last updated on Mar 21, 2026.