Individual provider · Type 1 NPI
Matilda Otang Eyong Epse Ebaietaka, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Gilbert, AZ
NPI number
1952159253
Active
Practice location
3755 S Rome Street
Gilbert, AZ 85297
Mailing address
6945 S Opal Dr
Chandler, AZ 85249-7221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 223835 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1952159253
Matilda Otang Eyong Epse Ebaietaka, PMHNP's National Provider Identifier is 1952159253, issued on May 10, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gilbert, AZ. The record was last updated on May 10, 2024.