Individual provider · Type 1 NPI
Brian Hualde
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1376178772
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-4318
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN183515 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 241654 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1376178772
Brian Hualde's National Provider Identifier is 1376178772, issued on Mar 5, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 10, 2020.