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NIYATIBEN PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
4475 S I 19 FRONTAGE RD STE 255, GREEN VALLEY, AZ 85614-6365
(520) 393-4863
(833) 605-7237
Mailing address
4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
(520) 393-4937

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
219083
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
219083
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
485164
AZ
Enumeration date
11/12/2018
Last updated
12/09/2020
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