Individual
ROBERT WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395-2505
(623) 349-1711
(623) 399-1958
Mailing address
14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395-2505
(623) 349-1711
(623) 399-1958
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
282633
AZ
Other
Enumeration date
10/31/2022
Last updated
01/21/2026
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