Organization
SERENITY AND PEACE PSYCHIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEMPHIS CHARDELL SANDOVAL PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(231) 327-1166
Entity
Organization
Contact information
Practice address
904 WEST FOREST ST, MUSKEGON, MI 49442
(317) 647-6689
Mailing address
PO BOX 18324, INDIANAPOLIS, IN 46218-0324
(317) 647-6689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
10/11/2024
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