Healthcare Provider Details

I. General information

NPI: 1487545372
Provider Name (Legal Business Name): WESTON MITCHELL HILLAND PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 E GUADALUPE RD STE 103
GILBERT AZ
85234-5116
US

IV. Provider business mailing address

9250 W THOMAS RD STE 100
PHOENIX AZ
85037-3383
US

V. Phone/Fax

Practice location:
  • Phone: 602-610-1191
  • Fax: 602-835-0559
Mailing address:
  • Phone: 602-610-1191
  • Fax: 602-835-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number263866
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: