Individual
MRS. MICHELLE MARIE MCGILVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
13260 N 94TH DR STE 100, PEORIA, AZ 85381-4242
(623) 487-7763
(602) 900-4057
Mailing address
12507 W LAMAR CT, GLENDALE, AZ 85307-1939
(360) 314-8438
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
230915
AZ
Other
Enumeration date
05/03/2024
Last updated
05/15/2025
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