James D Milacek, PMHNP
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1386635530
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1386635530
- Entity type
- Individual (NPI-1)
- Name
- Mr. James D Milacek
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2005
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP6197 | AZ | Yes |
Practice location
10000 N 31st Ave Ste C302Phoenix, AZ 85051-9569
Phone 602-843-0000
Mailing address
10000 N 31st Ave Ste C302Phoenix, AZ 85051-9569
Phone 602-843-0000
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