Individual
ELLEN MUSAKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 679-5262
Mailing address
3971 E CONSTITUTION DR, GILBERT, AZ 85296-0945
(951) 966-0193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003212
CA
363LF0000X
Family Nurse Practitioner
Primary
AP10422
AZ
Other
Enumeration date
02/29/2016
Last updated
05/12/2026
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