Organization
GRAND CANYON PSYCHIATRIC SERVICES PLLC
Active
Other names
Grand Canyon Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NJOGU APRN (CEO)
(316) 371-9196
Entity
Organization
Contact information
Practice address
28581 N CLOVER CIR, SAN TAN VALLEY, AZ 85143-5869
(316) 371-9196
Mailing address
28581 N CLOVER CIR, SAN TAN VALLEY, AZ 85143-5869
(316) 371-9196
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
11/28/2023
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