Organization
DIVINE GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON UCHECHI JOSHUA FNP-C, PMHNP-BC (NP-BC)
(602) 621-7561
Entity
Organization
Contact information
Practice address
6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305-3155
(602) 621-7561
(602) 837-5300
Mailing address
6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305-3155
(602) 621-7561
(602) 837-5300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/31/2022
Last updated
12/04/2024
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