Healthcare Provider Details

I. General information

NPI: 1265365506
Provider Name (Legal Business Name): MIRACLE VIEW HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 S LAKESHORE DR STE 102
TEMPE AZ
85282-7156
US

IV. Provider business mailing address

4801 S LAKESHORE DR STE 102
TEMPE AZ
85282-7156
US

V. Phone/Fax

Practice location:
  • Phone: 562-961-5698
  • Fax:
Mailing address:
  • Phone: 562-961-5698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MURPHY U BROWN
Title or Position: OWNER
Credential:
Phone: 562-961-5698