Organization
MENTAL SQUIRREL PLLC
Active
Other names
Madix Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATI WIJDENES DNP (SOLE OWNER)
(480) 418-0184
Entity
Organization
Contact information
Practice address
2747 E UNIVERSITY DR UNIT 31505, MESA, AZ 85275-0270
(480) 418-0184
(480) 602-5656
Mailing address
2747 E UNIVERSITY DR UNIT 31505, MESA, AZ 85275-0270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
02/18/2025
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