Robert Wallen, PMHNP | |
13331 W Indian School Rd Ste B203, Litchfield Park, AZ 85340-4340 | |
(623) 269-3990 | |
Not Available |
Full Name | Robert Wallen |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 13331 W Indian School Rd Ste B203, Litchfield Park, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609583517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 282633 (Arizona) | Primary |
Entity Name | Desert View Counseling & Consulting Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124173471 PECOS PAC ID: 4981644325 Enrollment ID: O20050505000384 |
Entity Name | 2nd Chance Treatment Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780098228 PECOS PAC ID: 6406178243 Enrollment ID: O20141204001738 |
Mailing Address | Practice Location Address |
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Robert Wallen, PMHNP 16620 N 40th St Ste E1, Phoenix, AZ 85032-3357 Ph: (602) 464-9576 | Robert Wallen, PMHNP 13331 W Indian School Rd Ste B203, Litchfield Park, AZ 85340-4340 Ph: (623) 269-3990 |
Theressa Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12513 W Reade Ave, Litchfield Park, AZ 85340 Phone: 480-294-2058 | |
Amie Horst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13014 W Camelback Rd, Litchfield Park, AZ 85340 Phone: 888-698-6727 | |
Sheena Hill-dilla, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13327 W Stella Ln, Litchfield Park, AZ 85340 Phone: 623-399-5678 | |
Ms. Kristin Angeli Oarde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13575 W Indian School Rd Ste 200, Litchfield Park, AZ 85340 Phone: 623-512-4310 | |
Emily Isabel Jordan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13014 W Camelback Rd Ste 102, Litchfield Park, AZ 85340 Phone: 518-894-3585 | |
Engle Tunstell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13314 W Clarendon Ave, Litchfield Park, AZ 85340 Phone: 623-210-2424 | |
Yuvia Janine Herrera Espinoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13331 W Indian School Rd # B203, Litchfield Park, AZ 85340 Phone: 623-269-3990 Fax: 623-269-3924 |