Healthcare Provider Details

I. General information

NPI: 1669144820
Provider Name (Legal Business Name): EMILY H HEALY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20058 W EL NIDO LN
LITCHFIELD PARK AZ
85340-2469
US

IV. Provider business mailing address

20058 W EL NIDO LN
LITCHFIELD PARK AZ
85340-2469
US

V. Phone/Fax

Practice location:
  • Phone: 520-342-6213
  • Fax:
Mailing address:
  • Phone: 520-342-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number327187
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN208306
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: