Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER PAUL MOHEB HENNIS, AGNP
ActivePETER PAUL MOHEB HENNIS, AGNP is a Gerontological Nurse Practitioner healthcare provider located in CASA GRANDE, Arizona. NPI 1588233175 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1588233175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2021 (5.1179893796662 yrs)
- Last Updated
- Oct 17, 2024
- License
-
258473 (AZ)
Practice Information
- Address
-
520 N CAMINO MERCADO STE 1CASA GRANDE, AZ, 851225754Browse AZ providers · Browse ZIP 85122
- Phone
- 5205575600
- Fax
- 4804942771
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.