Individual
KAACHA STAR NAMINDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7750 E BROADWAY BLVD STE A100, TUCSON, AZ 85710-3901
(520) 327-1529
Mailing address
7750 E BROADWAY BLVD STE A200, TUCSON, AZ 85710-3901
(520) 327-1529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1023876
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
255370
AZ
Other
Enumeration date
01/04/2021
Last updated
11/06/2023
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