| Eclipse Psychiatry, Plc | |
|
21300 N John Wayne Pkwy Ste 103 Maricopa AZ 85139-8964 | |
| (308) 224-4101 | |
| Not Available |
| Full Name | Eclipse Psychiatry, Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21300 N John Wayne Pkwy Ste 103, Maricopa, Arizona |
| Authorized Official Name and Position | Paula Danielle Brungardt (NURSE PRACTITIONER, OWNER) |
| Authorized Official Contact | 3082244101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclipse Psychiatry, Plc 5805 I Ave Kearney NE 68847-8422 Ph: (308) 224-4101 | Eclipse Psychiatry, Plc 21300 N John Wayne Pkwy Ste 103 Maricopa AZ 85139-8964 Ph: (308) 224-4101 |
| NPI Number | 1023642360 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023642360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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