Individual
MRS. KATLYN DANIELLE GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1520 S DOBSON RD STE 213A, MESA, AZ 85202-4767
(480) 382-6982
Mailing address
1520 S DOBSON RD STE 213A, MESA, AZ 85202-4767
(480) 382-6982
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
36004
TN
Other
Enumeration date
04/25/2024
Last updated
09/03/2024
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