Individual provider · Type 1 NPI
Latif Adeyemi Mustapha, NP
Gerontology Nurse Practitioner · Avondale, AZ
NPI number
1700473600
Active
Practice location
12025 W Apache St
Avondale, AZ 85323-8220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 250957 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Avondale
About NPI 1700473600
Latif Adeyemi Mustapha, NP's National Provider Identifier is 1700473600, issued on Dec 25, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Avondale, AZ. The record was last updated on Dec 25, 2020.