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NPI Code Detail

MEDICARE: ANGELA CHILDS FNP, PMHNP

MEDICARE:   ANGELA  CHILDS  FNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP9964AZ
2163W00000XRegistered NurseRN161690AZ
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP9964AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366982449
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA CHILDS FNP, PMHNP
Provider Business Mailing Address
First Line : 2525 W CAREFREE HWY STE 118
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-9302
Country : US
Telephone Number : 623-303-6777
Fax Number : 623-303-7444
Provider Business Practice Location Address
First Line : 2525 W CAREFREE HWY STE 118
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-9302
Country : US
Telephone Number : 623-303-6777
Fax Number : 833-902-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 01/25/2026

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