Individual provider · Type 1 NPI
Shaun Christian Java
Family Nurse Practitioner · Phoenix, AZ
NPI number
1265297097
Active · reactivated May 28, 2024
Practice location
19829 N 27th Ave
Phoenix, AZ 85027-4001
Mailing address
12124 W Cottontail Ln
Peoria, AZ 85383-5829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN174293 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 306567 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265297097
Shaun Christian Java's National Provider Identifier is 1265297097, issued on Feb 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 7, 2024.