Individual
MR. JOSEPH BERNARD GULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
4451 E OAK ST, PHOENIX, AZ 85008-2410
(602) 685-6000
(602) 508-4492
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN170422
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
282718
AZ
Other
Enumeration date
10/28/2022
Last updated
03/27/2025
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