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Individual

TARALYN BLAINE ADAKAI FOTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4100 S PINELAKE WAY UNIT 116, CHANDLER, AZ 85249-5694
(480) 466-4957
Mailing address
2460 W RAY RD STE 1, CHANDLER, AZ 85224-3556
(480) 613-9599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN196907
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
337963
AZ

Other

Enumeration date
11/13/2023
Last updated
04/20/2026
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