MICGRA PSYCH

PHOENIX, AZ
NPI1366255432
Entity TypeOrganization
Authorized ContactODETTE AMANDA E BUTLER
Psychiatric Nurse Practitioner
206-905-3600
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-01-30
Last Update Date2025-07-10
Business Address
MICGRA PSYCH
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016-3493
Phone number: 206-905-3600
Mailing Address
MICGRA PSYCH
555 ANDOVER PARK W STE 200
TUKWILA, WA 98188-3379
Phone number: 206-905-3600