ARIZONA STATE UNIVERSITY
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1912187121- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7332 E. SUN DEVIL MALL, MESA, AZ, 85212
- Phone
- (480) 727-1500
- Fax
- (480) 727-1599
Specialties & Taxonomies
Family Medicine
Nurse Practitioner, Family
Family Medicine
License: AZ
Nurse Practitioner, Family
Primary License: AZ