Healthcare Provider Details

I. General information

NPI: 1467399519
Provider Name (Legal Business Name): NIMBUS PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST # 6699
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST # 6699
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 480-490-9720
  • Fax:
Mailing address:
  • Phone: 480-490-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM SHAWN ARSENAULT
Title or Position: OWNER/PROVIDER
Credential: PMH-NP, BC
Phone: 480-490-9720