Individual
MR. JAMES D MILACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
10000 N 31ST AVE STE C302, PHOENIX, AZ 85051-9569
(602) 843-0000
Mailing address
10000 N 31ST AVE STE C302, PHOENIX, AZ 85051-9569
(602) 843-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP6197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385954
ANCC
—
Enumeration date
11/04/2005
Last updated
06/15/2020
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