Organization
PONDEROSA PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMEO E JOHNSON PMHNP (OWNER)
(928) 235-2927
Entity
Organization
Contact information
Practice address
2030 W BASELINE RD # 182-8355, PHOENIX, AZ 85041-6574
(928) 235-2927
(928) 268-0289
Mailing address
2030 W BASELINE RD # 182-8355, PHOENIX, AZ 85041-6574
(928) 235-2927
(928) 268-0289
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/04/2024
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