Individual
SADAF HASANZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12431 N 75TH DR, PEORIA, AZ 85381-5208
(623) 326-9816
Mailing address
12431 N 75TH DR, PEORIA, AZ 85381-5208
(623) 326-9816
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
264810
AZ
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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