Provider Demographics
NPI:1790456291
Name:RISING SUN HEALTHCARE & WELLNESS, LLC
Entity Type:Organization
Organization Name:RISING SUN HEALTHCARE & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PMHNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:CHURESE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:480-553-9478
Mailing Address - Street 1:1425 W ELLIOT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5141
Mailing Address - Country:US
Mailing Address - Phone:480-553-9478
Mailing Address - Fax:480-781-4731
Practice Address - Street 1:1425 W ELLIOT RD STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5141
Practice Address - Country:US
Practice Address - Phone:480-553-9478
Practice Address - Fax:480-781-4731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty