Individual
MOHAMED A PATTAPPURATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
7301 N 16TH ST STE 202, PHOENIX, AZ 85020-5265
(602) 753-2345
Mailing address
7301 N 16TH ST STE 202, PHOENIX, AZ 85020-5265
(602) 753-2345
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
262412
AZ
Other
Enumeration date
08/19/2021
Last updated
02/19/2022
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