Individual provider · Type 1 NPI
Kengne Fosso, NP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1386308864
Active
Practice location
3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Fax (602) 230-5105
Mailing address
3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Other practice locations
- 1800 E Van Buren St, Phoenix, AZ 85006-3742 · (602) 366-9682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 272234 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1386308864
Kengne Fosso, NP's National Provider Identifier is 1386308864, issued on Oct 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 3, 2025.