Search › Arizona › Psychiatric/Mental Health Nurse Practitioner
Laura Dietrich-Lake, FNP-C
NPI 1639684046 · on the registry since 2017
Practice
- Address
- 4707 N 12th St
Phoenix, AZ 85014 - Phone
- (602) 344-2506
- Fax
- (602) 247-9506
- Organisation at this address
- Magellan Health Services Of Arizona, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 3555 S Val Vista Dr, Gilbert, AZ
- 3555 S Val Vista Dr, Gilbert, AZ
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- Family Nurse Practitioner
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona