Individual
BERTHA NAMBUYE MBATAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6151-6153 W OLIVE AVE, GLENDALE, AZ 85302-4598
(602) 685-6000
(602) 389-3599
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
236046
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236046
AZ
Other
Enumeration date
01/08/2020
Last updated
12/05/2022
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