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Organization
SERENITY PSYCHIATRIC HEALTH INC.
Active
Organization
SERENITY PSYCHIATRIC HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGE GISELA BUNDCHEN NP (PRESIDENT)
(623) 698-2567
Entity
Organization
Contact information
Practice address
143 N MCCORMICK ST STE 103, PRESCOTT, AZ 86301-2725
(928) 899-7784
(623) 218-1396
Mailing address
143 N MCCORMICK ST STE 103, PRESCOTT, AZ 86301-2725
(928) 899-7784
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4183
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942532734
NPI
AZ
Enumeration date
02/01/2018
Last updated
02/01/2018
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