Individual provider · Type 1 NPI
Bryan Keoke Lazaro, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI number
1912458845
Active
Practice location
2111 E Baseline Rd Ste F4
Tempe, AZ 85283-1519
Fax (762) 212-4347
Mailing address
5223 1/2 S 5th St
Phoenix, AZ 85040-8707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP9561 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912458845
Bryan Keoke Lazaro, PMHNP's National Provider Identifier is 1912458845, issued on Oct 14, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tempe, AZ. The record was last updated on Jul 9, 2025.