Ponderosa Psychiatry PLLC
Ponderosa Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2030 W Baseline Rd # 182-8355Phoenix, AZ 85041-6574
Phone: (928) 235-2927
Fax: (928) 268-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1548012966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cameo Johnson — Owner · (928) 235-2927 |
| NPI enumerated | April 2, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 2030 W Baseline Rd # 182-8355, Phoenix, AZ 85041-6574 |
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