Healthcare Provider Details

I. General information

NPI: 1639915101
Provider Name (Legal Business Name): AMY T DUSCHINSKI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N SWITZER CANYON DR
FLAGSTAFF AZ
86001-4824
US

IV. Provider business mailing address

930 N SWITZER CANYON DR
FLAGSTAFF AZ
86001-4824
US

V. Phone/Fax

Practice location:
  • Phone: 928-985-1495
  • Fax:
Mailing address:
  • Phone: 928-985-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number310177
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number310177
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN140037
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: