# CREXMED

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

## Provider details

- **NPI number:** 1750020830
- **Authorized official:** UCHE IKE DNP, APRN (OWNER)
- **Authorized official phone:** (713) 397-3324

## Contact information

- **Practice address:** 6262 E BROADWAY RD STE 106, MESA, AZ 85206-6101
- **Practice address phone:** (602) 575-5147
- **Practice address fax:** (602) 847-2604
- **Mailing address:** 6262 E BROADWAY RD STE 106, MESA, AZ 85206-6101
- **Mailing address phone:** (602) 575-5147
- **Mailing address fax:** (602) 847-2604

## 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:** 05/27/2022
- **Last updated:** 08/04/2026