Mr. Elijah Ryan Phoenix
PMHNP | Nurse Practitioner
1100 W Stewart Dr, Orange
California, 92868-3849
618-919-0972
Mr. Elijah Ryan Phoenix is a Orange, California based nurse practitioner who is specialized as Nurse Practitioner nurse. 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 with specialization in Nurse Practitioner 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 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 Number | Specialization | State | Status | |
| 95032063 | Psych/Mental Health | California | Primary | |
| 95232470 | Registered Nurse | California | Secondary | |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.