Bryan Reddick, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1215744651
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1215744651
- Entity type
- Individual (NPI-1)
- Name
- Bryan Reddick
- Credential
- DNP, PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 316538 | AZ | Yes |
Practice location
7301 N 16th St Ste 102Phoenix, AZ 85020-5266
Phone 623-294-2007
Mailing address
4417 E Saint Catherine AvePhoenix, AZ 85042-5363
Phone 952-221-9581
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