Organization
PAPERFLOWER PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA THERESA KENNEDY NP (OWNER)
(928) 504-4700
Entity
Organization
Contact information
Practice address
2827 E SUNLAND AVE, PHOENIX, AZ 85040-3769
(928) 504-4700
Mailing address
3104 E CAMELBACK RD # 2414, PHOENIX, AZ 85016-4502
(928) 504-4700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280167
—
AZ
Enumeration date
12/11/2020
Last updated
12/11/2020
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