Individual
NANAHAUWAU MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W THOMAS RD, PHOENIX, AZ 85015-6051
(602) 764-8000
Mailing address
5705 N 43RD DR, GLENDALE, AZ 85301-6317
(623) 764-7796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251113
AZ
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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