Healthcare Provider Details

I. General information

NPI: 1184550949
Provider Name (Legal Business Name): DESERT BLOOM PSYCHIATRY NP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5822 E 45TH PL
YUMA AZ
85365-0048
US

IV. Provider business mailing address

5822 E 45TH PL
YUMA AZ
85365-0048
US

V. Phone/Fax

Practice location:
  • Phone: 432-271-0270
  • Fax:
Mailing address:
  • Phone: 432-271-0270
  • 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: ELENA DOBSON
Title or Position: PMHNP
Credential:
Phone: 928-580-0327