| Azitts | |
|
2729 E Main St Ste 101-102 Mesa AZ 85213-9228 | |
| (480) 867-1722 | |
| (480) 867-1709 |
| Full Name | Azitts |
|---|---|
| Speciality | Clinical Nurse Specialist - Family Health |
| Location | 2729 E Main St Ste 101-102, Mesa, Arizona |
| Authorized Official Name and Position | Medina Kamau (PROVIDER) |
| Authorized Official Contact | 4808671722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azitts 2735 E Main St Ste 2&3 Mesa AZ 85213-9269 Ph: (480) 867-1722 | Azitts 2729 E Main St Ste 101-102 Mesa AZ 85213-9228 Ph: (480) 867-1722 |
| NPI Number | 1629554126 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629554126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | (* (Not Available)) | Primary |
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