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Organization
INTEGRATIVE FAMILY AND PSYCHIATRIC CARE
Active
Organization
INTEGRATIVE FAMILY AND PSYCHIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RAQUEL MILES FNP (OWNER)
(623) 329-0551
Entity
Organization
Contact information
Practice address
4425 W OLIVE AVE, GLENDALE, AZ 85302-3843
(623) 329-0551
(725) 433-9262
Mailing address
23853 W LA CANADA BLVD, BUCKEYE, AZ 85396-6399
(623) 329-0551
(725) 433-9262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
10/09/2026
Last updated
10/09/2026
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