Individual
LUIS F FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
610 E BASELINE RD STE 5, PHOENIX, AZ 85042-6536
(602) 230-7373
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN177607
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11445
AZ
Other
Enumeration date
06/14/2018
Last updated
11/30/2023
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