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Individual

SARA BAHENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1345 E MAIN ST, MESA, AZ 85203-8947
(480) 223-0290
Mailing address
7913 S 24TH WAY, PHOENIX, AZ 85042-7162

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
277943
AZ
363L00000X
Nurse Practitioner
Primary
277943
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164812
AZ
Enumeration date
07/21/2022
Last updated
06/19/2026
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