Mr. Elijah Ryan Phoenix

PMHNP | Nurse Practitioner

1100 W Stewart Dr, Orange
  California, 92868-3849
618-919-0972
May or may not accept Medicare Nurse Anesthetist in Orange, California.
Mr. Elijah Ryan Phoenix is a Orange, California based nurse practitioner. Active license number of Mr. Elijah Ryan Phoenix is 95032063 for Psych/Mental Health in California. His current practice location is 1100 W Stewart Dr, Orange. Patients can reach him at 618-919-0972. Mr. Elijah Ryan Phoenix is PMHNP and his NPI number (Unique professional ID assigned by NPPES) is 1518778976.
Mr. Elijah Ryan Phoenix has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Elijah Ryan Phoenix speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Elijah Ryan Phoenix
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: PMHNP
Practice Address:1100 W Stewart Dr, Orange,
California, 92868-3849
Phone:618-919-0972
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1518778976
NPI Enumeration Date: 15 Jan, 2025
NPI Last Update On: 15 Jan, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Elijah Ryan Phoenix are as mentioned below.
License NumberSpecializationStateStatus
95032063Psych/Mental Health CaliforniaPrimary
95232470Registered Nurse CaliforniaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Elijah Ryan Phoenix
9951 Holder St Apt 49,
Cypress, California
Zip: 90630-4009
Phone Number: 618-919-0972
Patients can reach Mr. Elijah Ryan Phoenix at 1100 W Stewart Dr, Orange, California or can call to book an appointment on 618-919-0972.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.