# BLUE SKY PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1508565284
- **Authorized official:** KENNETH A NEMBU PMHNP (OWNER)
- **Authorized official phone:** (817) 658-2216

## Contact information

- **Practice address:** 2432 W PEORIA AVE STE 13421343, PHOENIX, AZ 85029-4726
- **Practice address phone:** (817) 658-2216
- **Mailing address:** 10553 W APPALOOSA TRL, CASA GRANDE, AZ 85194-7612
- **Mailing address phone:** (817) 658-2216

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2023
- **Last updated:** 03/01/2023