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Organization

MY NP HEALTHCARE PLLC

Active
Parent organization
MY NP HEALTHCARE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MY NP HEALTHCARE PLLC
Authorized official
GWENDOLYN MATHIS NP (DNP-PMHNP-FNP)
(844) 793-1923
Entity
Organization

Contact information

Practice address
2550 W UNION HILLS DR STE 350-4018, PHOENIX, AZ 85027-5163
(844) 793-1923
(602) 584-6216
Mailing address
2550 W UNION HILLS DR STE 350-4018, PHOENIX, AZ 85027-5163
(844) 793-1923
(602) 584-6216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
01/27/2023
Last updated
01/27/2023
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