IndividualActive
Consolee Nyiramana
NPI 1124764907 · Child Mental Illness Respite Care · Phoenix, AZ
Provider details
- NPI number
- 1124764907
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11283764 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
11024 N 28th Dr Ste 110
Phoenix, AZ 85029-4378
Phone: (602) 944-6222
Approximate (ZIP-level) locationGet directions
Mailing address
4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520
Registry dates
- Enumerated
- 2022-05-05
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.