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General NPI Number Information
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NPI Number | 1780522979
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Entity Type | Organization
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Legal Business Name | NEXUS NEUROHEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3029 N ALMA SCHOOL RD STE 109
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City | CHANDLER
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State | AZ
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Zip | 85224-1465
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Country | US
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Telephone | 734-218-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 3029 N ALMA SCHOOL RD STE 109
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City | CHANDLER
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State | AZ
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Zip | 85224-1465
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Country | US
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Telephone | 734-218-5606
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DONNA MEMIC
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Credential |
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Telephone | 734-218-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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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