Individual
JEREMY DAMON PATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10308 W ROBERTSON ST, MARANA, AZ 85653-1349
(520) 822-4534
Mailing address
10308 W ROBERTSON ST, MARANA, AZ 85653-1349
(520) 822-4534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
326622
AZ
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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