Organization
PEORIA MIND AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE MIYA OWNER (NP)
(602) 820-4104
Entity
Organization
Contact information
Practice address
9196 W MINE TRL, PEORIA, AZ 85383-5129
(602) 820-4104
Mailing address
9196 W MINE TRL, PEORIA, AZ 85383-5129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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