Individual
JUNE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1845 MCCULLOCH BLVD N, SUITE B-1, LAKE HAVASU CITY, AZ 86403-6759
(928) 453-2661
(928) 453-2672
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 265-8533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP7948
AZ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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