Individual provider · Type 1 NPI

Marie V. Khatinha, FNP- BC

Family Nurse Practitioner · Mesa, AZ

NPI number 1063018976 Active

Practice location

1705 W Main St
Mesa, AZ 85201-6920

Fax (480) 718-9477

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X247214 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1063018976

Marie V. Khatinha, FNP- BC's National Provider Identifier is 1063018976, issued on Dec 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 10, 2026.