Whalio Doctors

NPI 1467729640

Foundations for Change Plc

Organisation Psychiatric/Mental Health Clinical Nurse Specialist Phoenix, AZ

Practice location

Address
3841 N 24th St, Phoenix, AZ 85016-6512
Phone
(602) 368-8311
Fax
(602) 368-8318

Authorised official

Name
Jeffrey S Edelman
Title
Owner
Phone
(602) 368-8311

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence AP2472 (AZ)

Registry record

NPI
1467729640
Entity type
Organization
NPI issued
16 Nov 2011
Record last updated
16 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.