MEDICARE: CHRYSANTHEMUM PSYCHIATRY LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1710836648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRYSANTHEMUM PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	5210 E PIMA ST STE 200A
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-256-4381
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 E PIMA ST STE 200A
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-250-8199
Fax Number	:

Authorized Official
Title or Position	:	MEMBER/OWNER
Name	:	ALICE KATHERINE WEBB
Credential	:	PMHNP-BC
Telephone Number	:	520-256-4381

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	02/18/2026

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