Individual
JOSEPH PETER TRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
(928) 714-6480
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN171784
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11719
AZ
Other
Enumeration date
10/12/2012
Last updated
10/04/2018
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