Individual
MICHAELA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6720 S 49TH DR, LAVEEN, AZ 85339-1982
(509) 385-4509
Mailing address
6720 S 49TH DR, LAVEEN, AZ 85339-1982
(509) 385-4509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
327359
AZ
Other
Enumeration date
07/21/2025
Last updated
09/11/2025
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