Individual provider · Type 1 NPI
Misty Maple, FNP-C
Family Nurse Practitioner · Lake Havasu City, AZ
NPI number
1891146957
Active
Practice location
297 Lake Havasu Ave S Ste 204
Lake Havasu City, AZ 86403-6526
Mailing address
4115 Vagabond Dr
Lake Havasu City, AZ 86406-9230
Other practice locations
- 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 · (928) 486-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP8774 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | AP8774 (AZ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1891146957
Misty Maple, FNP-C's National Provider Identifier is 1891146957, issued on Jun 29, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Apr 16, 2025.