# ARK COVERNANT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Telehealth - Psychiatric Nurse Practitioner, Ark Covernant LLC (Behavioral Residential Home)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437862695
- **Authorized official:** NGWI RITA ETIENDEM DNP, PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (480) 667-8101

## Contact information

- **Practice address:** 20987 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-2926
- **Practice address phone:** (480) 667-8101
- **Mailing address:** 44202 W GRANITE DR, MARICOPA, AZ 85139-8868
- **Mailing address phone:** (480) 667-8101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251T00000X | PACE Provider Organization | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 09/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 873312201 | — | AZ |