Individual
PROMISE A ITEINJOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
250 S TOOLE AVE, TUCSON, AZ 85701-1814
(520) 323-1312
Mailing address
4122 GUILD MEADOWS DR, HOUSTON, TX 77084-7681
(713) 291-8567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
828393
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1259529
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
273608
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G167616
IA
Other
Enumeration date
01/04/2022
Last updated
09/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us