Individual
KEATA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP, RN
Contact information
Practice address
721 E ELGIN ST, GILBERT, AZ 85295-1581
(480) 703-4720
Mailing address
721 E ELGIN ST, GILBERT, AZ 85295-1581
(480) 703-4720
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP9759
AZ
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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