Healthcare Provider Details

I. General information

NPI: 1124803903
Provider Name (Legal Business Name): ARRIANNA T THOMAS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W INDIAN SCHOOL RD
PHOENIX AZ
85015-4907
US

IV. Provider business mailing address

2150 W INDIAN SCHOOL RD
PHOENIX AZ
85015-4907
US

V. Phone/Fax

Practice location:
  • Phone: 480-681-3450
  • Fax: 866-205-4076
Mailing address:
  • Phone: 480-681-3450
  • Fax: 866-205-4076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number222143
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: