DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ARIZONA STATE UNIVERSITY

Active Organization

Family Nurse Practitioner · MESA, AZ

Registration Details

NPI Number
1912187121
Provider Type
Organization
NPI Issued
Nov 6, 2007 (18.466545471129 yrs)
Last Updated
Nov 3, 2014

Practice Information

Address
7332 E. SUN DEVIL MALL
MESA, AZ, 85212
Browse AZ providers · Browse ZIP 85212
Phone
4807271500
Fax
4807271599
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Medicine
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in MESA, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.