Individual
REENA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S STAPLEY DR # 5060, MESA, AZ 85204-5059
(602) 685-6000
Mailing address
1941 S PIERPONT APT 1009, MESA, AZ 85206-4646
(602) 931-3208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241863
AZ
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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