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RISING SUN HEALTHCARE & WELLNESS LLC NPI 1790456291


NPI Information

NPI: 1790456291
Provider Name: RISING SUN HEALTHCARE & WELLNESS, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 03D2232414

Address:
1425 W ELLIOT RD STE 102
GILBERT, AZ
ZIP 85233
Phone: (480) 553-9478
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RISING SUN HEALTHCARE & WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Gilbert, AZ. RISING SUN HEALTHCARE & WELLNESS, LLC NPI is 1790456291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1425 W ELLIOT RD STE 102
GILBERT, AZ
ZIP 85233-141
Phone: (480) 553-9478
Fax: (480) 781-4731

The provider's authorized official is Latoya Churese Murphy .
The authorized official title is Ceo/pmhnp-bc and has the following contact phone number (480) 553-9478.

The CLIA number assigned to this NPI record is 03D2232414 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 12/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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