ROBERT WALLEN

GOODYEAR, AZ
NPI1609583517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  282633)
Enumeration Date2022-10-31
Last Update Date2026-01-20
Business Address
ROBERT WALLEN PMHNP
14122 W MCDOWELL RD STE 203
GOODYEAR, AZ 85395-2505
Phone number: 623-349-1711
Mailing Address
ROBERT WALLEN PMHNP
16620 N 40TH ST STE E1
PHOENIX, AZ 85032-3357
Phone number: 602-464-9576