Provider Demographics
NPI:1952153652
Name:STROCKS, ANTHONY MAURICE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MAURICE
Last Name:STROCKS
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3598 E AUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-4328
Mailing Address - Country:US
Mailing Address - Phone:480-823-2755
Mailing Address - Fax:
Practice Address - Street 1:3598 E AUSTIN LN
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85140-4328
Practice Address - Country:US
Practice Address - Phone:480-823-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP305760363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health