Provider Demographics
NPI:1366217648
Name:NATIONWIDE PSYCHIATRY
Entity type:Organization
Organization Name:NATIONWIDE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-497-1588
Mailing Address - Street 1:2982 N ALMA SCHOOL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6700
Mailing Address - Country:US
Mailing Address - Phone:602-497-1588
Mailing Address - Fax:602-581-7405
Practice Address - Street 1:2982 N ALMA SCHOOL RD STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6700
Practice Address - Country:US
Practice Address - Phone:602-497-1588
Practice Address - Fax:602-581-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty