Individual
AUGUSTIN HARELIMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5205 W PEDRO LN, LAVEEN, AZ 85339-7193
(602) 550-1490
Mailing address
5205 W PEDRO LN, LAVEEN, AZ 85339-7193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
AP10793
AZ
363LF0000X
Family Nurse Practitioner
AP10793
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10793
AZ
Other
Enumeration date
01/18/2018
Last updated
05/01/2026
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