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Organization
SHEA PEDIATRIC PSYCHIATRY PLLC
Active
Organization
SHEA PEDIATRIC PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA GEORGINA LEDESMA DNP, FNP-C, PMHNP-B (OWNER)
(602) 218-1240
Entity
Organization
Contact information
Practice address
3509 E SHEA BLVD STE 117Q, PHOENIX, AZ 85028-3336
(602) 218-1240
Mailing address
3509 E SHEA BLVD STE 117Q, PHOENIX, AZ 85028-3336
(602) 218-1240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
10/04/2024
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