Individual
MATILDA BOACHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
316 W PINNACLE RIDGE DR, SAN TAN VALLEY, AZ 85140-7047
(860) 967-2388
Mailing address
316 W PINNACLE RIDGE DR, SAN TAN VALLEY, AZ 85140-7047
(860) 967-2388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/21/2022
Last updated
07/21/2022
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