Individual
LAURA HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6242 E ARBOR AVE STE 118, MESA, AZ 85206-1309
(602) 805-4914
(602) 805-4917
Mailing address
6242 E ARBOR AVE STE 118, MESA, AZ 85206-1309
(602) 805-4914
(602) 805-4917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
232650
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
232650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081189
—
AZ
01
—
232650
RN
AZ
Enumeration date
09/13/2019
Last updated
03/10/2025
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