Marie V Khatinha
Nurse Practitioner - Primary Care
5555 E Baseline Rd
Mesa
, Arizona 85206-4709
Marie V Khatinha
Nurse Practitioner - Primary Care
5555 E Baseline Rd
Mesa
, Arizona 85206-4709
(602) 751-7262
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Marie V Khatinha
- 11507 E Peterson Ave
- Mesa, AZ
- Zip : 85212-1945
- Phone : (602) 751-7262
Second Address
- Marie V Khatinha
- 5555 E Baseline Rd
- Mesa, AZ
- Zip : 85206-4709
- Fax : (480) 704-4019
- Phone : (480) 393-0575
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Is Marie V Khatinha a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 274214 | AZ |
National Provider Identifier
| NPI | 1063018976 |
|---|---|
| Provider Name | Marie V Khatinha |
| First Address | Mesa, AZ 85212-1945 |
| Second Address | Mesa, AZ 85206-4709 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2020 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.