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Individual

BINDU KANAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP - C

Contact information

Practice address
201 S 4TH AVE, PHOENIX, AZ 85003-2138
(602) 876-8119
Mailing address
961 N ALBERT DR, CHANDLER, AZ 85226-6003
(480) 330-9088

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN136098
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11629
AZ

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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