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General NPI Number Information
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NPI Number | 1700682366
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Entity Type | Organization
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Legal Business Name | MYHRE BEHAVIORAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 20849 W WERNER PL
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City | BUCKEYE
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State | AZ
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Zip | 85396-3562
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Country | US
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Telephone | 602-718-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 20849 W WERNER PL
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City | BUCKEYE
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State | AZ
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Zip | 85396-3562
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Country | US
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Telephone | 480-621-8566
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Fax | 480-625-0601
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Authorized Official
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Title or Position | FNP/PMHNP
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Name | YILIA MYHRE
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Credential | NURSE PRACTITIONER
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Telephone | 602-718-5107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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