MY NP HEALTHCARE PLLC

Provider Demographics

• NPI: 1912613449
• Name: MY NP HEALTHCARE PLLC
• Entity Type: Organization
• Organization Name: MY NP HEALTHCARE PLLC
• Authorized Official - Title/Position: DNP-PMHNP-FNP
• Authorized Official - First Name: GWENDOLYN
• Authorized Official - Last Name: MATHIS
• Authorized Official - Credentials: NP
• Authorized Official - Phone: 844-793-1923
• Mailing Address - Street 1: 2550 W UNION HILLS DR STE 350-4018
• Mailing Address - City: PHOENIX
• Mailing Address - State: AZ
• Mailing Address - Zip Code: 85027-5163
• Mailing Address - Country: US
• Mailing Address - Phone: 844-793-1923
• Mailing Address - Fax: 602-584-6216
• Practice Address - Street 1: 2550 W UNION HILLS DR STE 350-4018
• Practice Address - City: PHOENIX
• Practice Address - State: AZ
• Practice Address - Zip Code: 85027-5163
• Practice Address - Country: US
• Practice Address - Phone: 844-793-1923
• Practice Address - Fax: 602-584-6216
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: MY NP HEALTHCARE PLLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2023-01-27
• Last Update Date: 2023-01-27

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Multi-Specialty
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty