Individual
ALA ALKHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
500 W THOMAS RD STE 750&850, PHOENIX, AZ 85013-4224
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP10255
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10255
AZ
Other
Enumeration date
06/21/2017
Last updated
08/27/2025
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