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Organization
FORTUNE BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization
FORTUNE BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE WANJIKU NJENGA PHMNP (PSYCHIATRIC NURSE PRACTITIONER)
(157) 150-2182
Entity
Organization
Contact information
Practice address
3334 E WOODSIDE WAY, GILBERT, AZ 85297-9317
(571) 502-1822
Mailing address
3334 E WOODSIDE WAY, GILBERT, AZ 85297-9317
(571) 502-1822
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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