Platinum Psychiatry LLC
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Organization (NPI-2).
NPI number1831908656
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1831908656
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Psychiatry LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Platinum Psychiatry (Doing Business As)
Practice location
16421 N Tatum Blvd Ste 124Phoenix, AZ 85032-3455
Phone 602-730-6422
Mailing address
16421 N Tatum Blvd Ste 124Phoenix, AZ 85032-3455
Phone 602-730-6422
Authorized official
Todd Shorten
Owner
5037249102
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