Healthcare Provider Details

I. General information

NPI: 1881429900
Provider Name (Legal Business Name): PATRICIA LANETTE INMAN DNP, APRN-RNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA L. INMAN DNP, APRN-RNP, PMHNP

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9466 W TONTO LN
PEORIA AZ
85382-4164
US

IV. Provider business mailing address

3101 N CENTRAL AVE STE 550
PHOENIX AZ
85012-2635
US

V. Phone/Fax

Practice location:
  • Phone: 623-286-1927
  • Fax: 480-281-5219
Mailing address:
  • Phone: 602-230-7373
  • Fax: 602-682-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number247630
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: