Individual
KASANDRA BUJOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9505 E NATAL AVE, MESA, AZ 85209-2233
(480) 636-0726
Mailing address
9505 E NATAL AVE, MESA, AZ 85209-2233
(480) 636-0726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
301922
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/19/2023
Last updated
01/06/2024
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