Organization
VIRTUALMED PLLC
Active
Other names
Virtual Med
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIANNA GALE PMHNP-BC (OWNER)
(480) 603-8859
Entity
Organization
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 603-8859
Mailing address
PO BOX 51504, MESA, AZ 85208-0076
(480) 603-8859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
09/17/2024
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