Organization · Type 2 NPI
Pura Vida Mind and Body PLLC
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1982534095
Active
Practice location
4539 N 22nd St Ste R
Phoenix, AZ 85016-4639
Fax (480) 323-2066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1982534095
Pura Vida Mind and Body PLLC's National Provider Identifier is 1982534095, issued on May 20, 2026. 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 Sep 18, 2026.