Organization · Type 2 NPI
Shosamana
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1942403076
Active
Practice location
3740 E Southern Ave Ste 207
Mesa, AZ 85206-2512
Fax (480) 324-0631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN045016AP0033 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942403076
Shosamana's National Provider Identifier is 1942403076, issued on Jun 6, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Aug 22, 2020.