Organization
MIND-BODY CONNECTIONS
Active
Other names
Mind-Body Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY IGWE (NURSE PRACTITIONER)
(602) 980-8703
Entity
Organization
Contact information
Practice address
3048 E BASELINE RD STE 122, MESA, AZ 85204-7288
(602) 980-8703
(602) 962-4108
Mailing address
3048 E BASELINE RD STE 122, MESA, AZ 85204-7288
(602) 980-8703
(602) 962-4108
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106503
—
AZ
Enumeration date
09/25/2021
Last updated
09/18/2024
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