Organization · Type 2 NPI

State 48 Psychiatry PLLC

Psychiatric/Mental Health Nurse Practitioner · Snowflake, AZ

NPI number 1952205734 Active

Practice location

501 S Main St
Snowflake, AZ 85937-5251

Call (480) 586-0035 Map

Mailing address

1745 W Western Dove Dr
Snowflake, AZ 85937-6185

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

About NPI 1952205734

State 48 Psychiatry PLLC's National Provider Identifier is 1952205734, issued on Oct 6, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Snowflake, AZ. The record was last updated on Oct 6, 2026.