Individual provider · Type 1 NPI

Shanu Khatana

Family Nurse Practitioner · Goodyear, AZ

NPI number 1679426035 Active

Practice location

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007

Mailing address

9515 Tamar Trl
Fort Wayne, IN 46825-7254

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X335624 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1679426035

Shanu Khatana's National Provider Identifier is 1679426035, issued on Feb 17, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goodyear, AZ. The record was last updated on Feb 24, 2026.