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Organization
MINDBRIDGE TELEHEALTH PLLC
Active
Organization
MINDBRIDGE TELEHEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA ZOFIA DELYSER PMHNP-BC (OWNER / NURSE PRACTITIONER)
(408) 896-0894
Entity
Organization
Contact information
Practice address
4539 N 22ND ST # 4991, PHOENIX, AZ 85016-4639
(408) 896-0894
Mailing address
1111 OCEAN ST UNIT 204, SANTA CRUZ, CA 95060-2898
(408) 896-0894
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
08/01/2025
Last updated
08/01/2025
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