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Individual

MARYAM H LATEEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHNP

Contact information

Practice address
8613 S 7TH DR, PHOENIX, AZ 85041-8311
(480) 835-2371
(623) 847-4047
Mailing address
7219 S 15TH DR, PHOENIX, AZ 85041-6930
(602) 403-5050
(623) 777-0820

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 1782
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
702911
AZ
Enumeration date
01/20/2006
Last updated
12/19/2019
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