Organization
CREXMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCHE IKE MSN, APRN (OWNER)
(713) 397-3324
Entity
Organization
Contact information
Practice address
501 W RAY RD STE 4, CHANDLER, AZ 85225-7284
(602) 551-7009
(602) 847-2604
Mailing address
501 W RAY RD STE 4, CHANDLER, AZ 85225-7284
(602) 551-7009
(602) 847-2604
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
11/06/2024
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