Individual
MARIE V KHATINHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(480) 964-2273
(480) 718-9477
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247214
AZ
363LP2300X
Primary Care Nurse Practitioner
274214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086577
—
AZ
Enumeration date
12/07/2020
Last updated
03/10/2026
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