Organization
CANYON HAVEN PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WAWERU CNP (OWNER OF ENTITY)
(480) 999-5114
Entity
Organization
Contact information
Practice address
6120 W BELL RD STE 100A, GLENDALE, AZ 85308-3780
(480) 999-5114
(480) 459-3339
Mailing address
6120 W BELL RD STE 100A, GLENDALE, AZ 85308-3780
(480) 999-5114
(480) 459-3339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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