# JAMES DAVID MILACEK PLLC

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

## Provider details

- **NPI number:** 1598558694
- **Authorized official:** MR. JAMES DAVID MILACEK RN, MSN, PMHNP-BC (PROVIDER / OWNER)
- **Authorized official phone:** (623) 229-2175

## Contact information

- **Practice address:** 10000 N 31ST AVE STE C302, PHOENIX, AZ 85051-9569
- **Practice address phone:** (602) 843-0000
- **Practice address fax:** (833) 377-0510
- **Mailing address:** 10000 N 31ST AVE STE C302, PHOENIX, AZ 85051-9569
- **Mailing address phone:** (602) 843-0000
- **Mailing address fax:** (833) 377-0510

## 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:** 05/22/2025
- **Last updated:** 05/22/2025
