Organization
PLATINUM PSYCHIATRY LLC
Active
Other names
Platinum Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SHORTEN NP (OWNER)
(503) 724-9102
Entity
Organization
Contact information
Practice address
16421 N TATUM BLVD STE 124, PHOENIX, AZ 85032-3455
(602) 730-6422
Mailing address
16421 N TATUM BLVD STE 124, PHOENIX, AZ 85032-3455
(602) 730-6422
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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