# INTEGRATIVE FAMILY AND PSYCHIATRIC CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013812106
- **Authorized official:** SHANNON RAQUEL MILES FNP (OWNER)
- **Authorized official phone:** (623) 329-0551

## Contact information

- **Practice address:** 4425 W OLIVE AVE, GLENDALE, AZ 85302-3843
- **Practice address phone:** (623) 329-0551
- **Practice address fax:** (725) 433-9262
- **Mailing address:** 23853 W LA CANADA BLVD, BUCKEYE, AZ 85396-6399
- **Mailing address phone:** (623) 329-0551
- **Mailing address fax:** (725) 433-9262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2026
- **Last updated:** 10/09/2026