Individual
MS. PUNAM BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-8143
(602) 200-1464
Mailing address
1920 E INDIAN SCHOOL RD APT 4033, PHOENIX, AZ 85016-6087
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11645
AZ
363LF0000X
Family Nurse Practitioner
NP95003005
CA
Other
Enumeration date
10/22/2015
Last updated
12/11/2019
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