Individual
LACY GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2601 N 3RD ST STE 205, PHOENIX, AZ 85004-1145
(480) 494-3164
(602) 354-9301
Mailing address
2601 N 3RD ST STE 205, PHOENIX, AZ 85004-1145
(480) 494-3164
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
306071
AZ
Other
Enumeration date
04/11/2024
Last updated
09/25/2024
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