Organization
AWAQEN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MILLS (OFFICE SPECIALIST)
(435) 313-0102
Entity
Organization
Contact information
Practice address
340 FALCON RIDGE PKWY STE 603, MESQUITE, NV 89027-8852
(801) 652-1788
Mailing address
1275 E 1710 S, ST GEORGE, UT 84790-2293
(801) 652-1788
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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