Organization · Type 2 NPI
Arizona State University
Family Nurse Practitioner · Mesa, AZ
NPI number
1912187121
Active
Practice location
7332 E. Sun Devil Mall
Mesa, AZ 85212
Fax (480) 727-1599
Mailing address
PO Box 872104
Tempe, AZ 85287-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1912187121
Arizona State University's National Provider Identifier is 1912187121, issued on Nov 6, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 3, 2014.