Individual
MR. JOHN KEVIN EKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP- C, PMHNP
Contact information
Practice address
624 W 8TH ST, SAFFORD, AZ 85546-2807
(928) 428-6554
(928) 428-7266
Mailing address
510 23RD ST., SAFFORD, AZ 85546
(928) 348-9602
(928) 428-7266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP1902
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
859655
—
AZ
Enumeration date
07/05/2005
Last updated
08/25/2008
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