Individual provider · Type 1 NPI
Alexander Etu
General Practice Registered Nurse · Phoenix, AZ
NPI number
1972261196
Active
Practice location
3207 S 73rd Dr
Phoenix, AZ 85043-7230
Mailing address
401 W Western Ave Unit 345
Avondale, AZ 85323-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN215721 (AZ) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN215721 (AZ) |
| General Practice Registered Nurse Primary | 163WG0000X | RN215721 (AZ) |
General Practice Registered Nurse: Definition to come...
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About NPI 1972261196
Alexander Etu's National Provider Identifier is 1972261196, issued on Dec 5, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 5, 2021.