Individual
PETER PAUL MOHEB HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
520 N CAMINO MERCADO STE 1, CASA GRANDE, AZ 85122-5754
(520) 557-5600
(480) 494-2771
Mailing address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(480) 494-2770
(480) 494-2771
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
258473
AZ
Other
Enumeration date
06/18/2021
Last updated
10/17/2024
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